Fetal neurologic consultations.

Abstract:

:The pediatric neurologist can fulfill a useful role as a subspecialty consultant concerning the fetus with a suspected brain disorder, given that neurologic disease may occur before the intrapartum period. Brain disorders detected in the neonatal period may also reflect fetal brain damage before dysfunction is first documented. Medical conditions during the antepartum or intrapartum periods can alternatively predispose the fetus or neonate to express brain dysfunction at a later period, with either de novo or compounded brain injury. The pediatric neurologist must, therefore, consider maternal, placental, and fetal diseases on which a neonatal encephalopathy may be superimposed. This review article provides the neurologist with an integrative approach to fetal neurology, emphasizing perspectives from other subspecialties concerning maternal-fetal medicine, pathology, and neonatology, as well as other pediatric subspecialties. Evaluation of future strategies for either fetal or neonatal brain resuscitation will need to consider the developmental context in which a suspected brain injury occurred during the antepartum, intrapartum, and neonatal periods.

journal_name

Pediatr Neurol

journal_title

Pediatric neurology

authors

Scher MS

doi

10.1016/s0887-8994(03)00234-0

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

193-202

issue

3

eissn

0887-8994

issn

1873-5150

pii

S0887899403002340

journal_volume

29

pub_type

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