Avtor/Urednik     Paro-Panjan, Darja
Naslov     Nevrološki pregled novorojenčka po Amiel-Tisonovi: klinična uporabnost, primerjava z drugimi metodami in prognostični pomen za nevrološko-razvojni izid ob letu
Tip     monografija
Kraj izdaje     Ljubljana
Založnik     Univerza v Ljubljani, Medicinska fakulteta
Leto izdaje     2005
Obseg     str. 109
Jezik     slo
Abstrakt     Background: Recognition of neurological dysfunction in the newborn is difficult as the clinical signs of the disease are not specific. Different neurological examinations have been proposed and the choice depends on the goal of the examination and on personal preferences. The Amiel-Tison neurological assessment of the newborn at term (ATNA) is based on the understanding of the anatomical and physiological basis of the developing motor pathways, their function, and on the timing and direction of their myelination. It is possible to determine the timing and aetiology of the lesion from certain items of the assessment. Although the prognostic value of ATNA has been established, the prognostic value of particular items, their correlation with risk factors for brain damage, imaging and neuro-physiological methods of investigation has not been analysed yet. The objectives of the study were to perform ATNA in a heterogeneous group of infants with different risk factors for brain damage, to analyse the results of the assessments according to the risk factors for brain damage, the aetiology, and the results of brain ultrasound (US), electroencephalography (EEG) and cerebral function monitoring (CFM), and to define the prognostic value of the assessment regarding neurological and developmental outcome at one year. Patients and Methods. Our study population consisted of 52 term newborns with risk factors for brain damage that were consecutively admitted for neurological evaluation and therapy to the Neonatal Unit of the Children's Hospital, between January 1 St and December 31 St, 2002. The group included 31 males and 21 females. Their birth weights ranged from 1910 to 4820 grams (mean 3288 g, SD 661 g) and their gestational ages were between 38 and 41.3 weeks (mean 39.4 weeks, SD 1.2 week). Eight infants were small, 5 large and others were appropriate for gestational.
Deskriptorji     NEUROLOGIC EXAMINATION
CEREBRAL ISCHEMIA
ELECTROENCEPHALOGRAPHY
GESTATIONAL AGE
BIRTH WEIGHT
INFANT, NEWBORN