Neurological disorders in preterm children with neuropathy

Abstract

RP was found in 367 (51.5%) children. In 255 children, the disease regressed naturally. One hundred and twelve (15.7%) children, underwent laser coagulation of the avascular retina due to the severity of RP. Signs of intraventricular hemorrhages (IVH) were noted in 434 (61%) children in the neonatal period. IVH were found in 285 (77.6%) children with RP. RP with the regression after laser coagulation was combined with IVH in 98% of cases, with the higher frequency (55.3%) of IVH, 3 degree. Periventricular leucomalation (PVL) was found in 10% of children without RP, in 22.3% of children with RP with naturally regression and in 51,7% of children with RP with laser coagulation of the retina. In 70 children, neurosonographic signs of ischemia of the head of caudate nucleus were identified on the 14-15 days of life. In this group, RP developed in 54 (77%) children, 27 (38.5%) children needed laser coagulation of the retina. The correlation found between the severity of RP and hypoxic CNS lesions in highly preterm infants might allow the prognosis of visual and neurosomatic disturbances in the early age and timely effective rehabilitation.

Clinical Application of High- Precision Neuroimaging Methods in Newborns with Brain Injuries

“…Особого внимания заслуживают глубоконедоношенные новорожденные с очень низкой и экстремально низкой массой тела, т. к. значительные колебания перфузии способствуют возникновению кровоизлияний в зародышевый матрикс, желудочковую систему и повреждению белого вещества головного мозга [9,12,13]. Сопоставляя клинические и инструментальные данные, можно прогнозировать у ребенка развитие неврологических, нейросоматических нарушений и своевременно назначить реабилитацию [14,15].…”