Review article
FROM FETAL TO NEONATAL NEUROLOGY
Sanja Zaputović
; Klinika za ginekologiju i porodništvo, Opća bolnica Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Hrvatska
Milan Stanojević
; Klinika za ginekologiju i porodništvo, Opća bolnica Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Hrvatska
Berivoj Mišković
; Klinika za ginekologiju i porodništvo, Opća bolnica Sveti Duh, Sveti Duh 64, 10 000 Zagreb, Hrvatska
Abstract
In recent years increasing emphasis has been placed on prenatal origin of brain injury in the case of neurologically impaired infants. It was found that 25% of infants who died within one neonatal week had prenatal brain damage. Furthermore, a strong evidence was provided that most examples of cerebral palsy in full term infants were not the result of perinatal asphyxial events, but of prenatal intrauterine problems. The development of movement patterns has been described as a major maturational process and a sensitive indicator of neurobehavioral organization and future temperamental and cognitive status. Further advancement in the analysis of fetal movement patterns was the introduction of high quality 3D/4DE ultrasound which allowed the observer to carry out real-time observations with sufficient dynamics and good image resolution and enabled production of new prenatal scoring test KANET. The parameters used in the test are products of previously conducted multicentric research on fetal behaviour assessed by 2D sonography combined with neonatal signs suggested by Amiel-Tison. Since 4D enabled the evaluation of face and small anatomic parts, the movements of mouth, eyes and fingers are enrolled in the test as special variables. There is also the advantage that some criteria for the diagnostic assessment can be used for the fetus as well as for the young infant. Neonatal neurology is new promising field for evaluation of antenatal neurobehaviour testing.
Keywords
fetus; cerebral palsy; fetal movements; neurologic manifestation
Hrčak ID:
68366
URI
Publication date:
1.3.2010.
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