Author/Editor		Felc, Zlata; Alif, Ivan; Ilijaš-Trofenik, Ana
Title		Psihomotorni razvoj donošenih novorojencev z ventrikulomegalijo
Translated title		Psychomotor development in term newborns with ventriculomegaly
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 66, št. 7-8
Publication year		1997
Volume		str. 419-23
Language		slo
Abstract		Background. This retrospective study was performed to asses the psychomotor development of term newborns with ventriculomegaly. Methods. Ultrasound scans were performed on each of 3698 consecutive term newborns delivered throughout 24 months ending December 31, 1994. We have two groups: the first one consisted of 12 newborns with ventriculomegaly and the second group consisted of 24 newborns without ventriculomegaly. Inclusion citeria were the same for both group: at least one examination with ultrasound during pregnancy, Apgar score >-6 at 1st minute and >-7 at 5th minutes, normal clinical status. In both groups was normal cerebral sonogram, difference between groups was only in the width of frontal part of lateral cerebral ventricle: 5-10 mm in ventriculomegaly group, up to 4 mm in group without ventriculomegaly. During the first year psychomotor development was followed up by the pediatrician experienced in development neurology. Results. During our screening, 12 cases of isolated mild lateral ventriculomegaly were noted at an incidence of 3.2 per 1,000 term newborns. Apgar score at 5th minutes was lower in study group (hi2 = 7.483; P<0.05); maternal age, head circumference, birth weight were not statistically different between groups. Psychomotor development was less optimal in ventriculomegaly group (hi2 - 10.990, P<0.01). Conclusions. Our study group was small but results suggest that clinically asymptomatic term newborns with ventriculomegaly need follow up to provide treatment in due time.
Summary		Izhodišča. Z retrospektivno raziskavo smo želeli ugotoviti, kakšen je psihomotorni razvoj donošenih novorojencev z ventrikulomegalijo. Metode. Od 3698 donošenih novorojencev, rojenih v celjski porodnišnici v letih 1993 in 1994, smo v retrospektivno raziskavo vključili 12 donošenih novorojencev z ventrikulomegalijo in 24 donošenih novorojencev brez ventrikulomegalije. Merila za izbor novorojencev z ventrikulomegalijo so bila: vsaj en ultrazvočni pregled med nosečnostjo, ocena po Apgarjevi v prvi minuti po rojstvu 6 ali več in v peti minuti 7 ali več, normalen klinični status ter širina frontalnega dela stranskega možganskega prekata od 5 do 10 mm ob sicer normalnem ultrazvočnem izvidu možganov. Pri novorojencih brez ventrikulomegalije so bila merila za izbor enaka, le širina frontalnega dela stranskega možganskega prekata je bila 4 mm ali manj. Psihomotorni razvoj je spremljal pediater, usmerjen v razvojno nevrologijo. Rezultati. Ventrikulomegalija je bila ugotovljena pri 12 donošenih novorojencih, kar pomeni incidenco 3,2 na 1000 donošenih novorojencev. Skupina otrok z ventrikulomegalijo je imela nižjo oceno po Apgarjevi v peti minuti (hi2 = 7,483; P<00,05), medtem ko v obeh skupinah ni bilo razlik z ventrikulomegalijo, zlasti deklice, so se razvijali slabše (P < 0,01) saj sta dve deklici potrebovali nevrofizioterapijo. Zaključki. Preiskovalna skupina je majhna, vendar je mogoče sklepati, da donošeni novorojenci z ventrikulomegalijo potrebujejo skrben nadzor, ki po odkritih nepravilnostih omogoča pravočasno ukrepanje.
Descriptors		CHILD DEVELOPMENT CEREBRAL VENTRICLES INFANT, NEWBORN, DISEASES CHILD INFANT, NEWBORN APGAR SCORE DEVELOPMENTAL DISABILITIES