Hypoxic-ischemic encephalopathy in preterm infants: antecedent factors, brain imaging, and outcome.

Abstract:

:Our objectives were to establish antecedent factors and patterns of brain injury and their prognostic value in preterm infants with hypoxic-ischemic encephalopathy (HIE). Essential inclusion criteria were gestation (GA) < or =36 wk, Apgar scores <5/<7 at 1/5 min, major resuscitation at birth, and a brain MRI <6 postnatal wk. At least one additional criterion was required of the following: abnormal intrapartum CTG, sentinel event, meconium, cord pH <7.0, neonatal seizures, and multiorgan failure. Antenatal and perinatal data and > or =2 y neurodevelopmental outcome were documented. Fifty-five infants (GA 26-36; median, 35 wk) were eligible; all had 1-6 (median, 3) additional criteria. Placental abruption was the commonest identifiable antecedent event. Evidence of infection was not prominent. Main sites of injury were basal ganglia (BG, 75%), mostly severe, white matter (WM, 89%), mostly mild, brainstem (44%), and cortex (58%). Brainstem injury was associated with severe BG, WM, and cortical injury. Two-year outcome: death (32%), cerebral palsy (26%, mostly severe quadriplegia), mild impairment (10%), and normal (32%). Significant central gray matter and brainstem injury was found in many preterm infants with HIE. Neonatal MRI findings allowed accurate prediction of neurodevelopmental outcome. Early MRI is feasible and a valuable tool in this poorly reported group of infants.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Logitharajah P,Rutherford MA,Cowan FM

doi

10.1203/PDR.0b013e3181a9ef34

subject

Has Abstract

pub_date

2009-08-01 00:00:00

pages

222-9

issue

2

eissn

0031-3998

issn

1530-0447

journal_volume

66

pub_type

杂志文章
  • Creatine deficiency in the brain: a new, treatable inborn error of metabolism.

    abstract::In a patient with extrapyramidal movement disorder and extremely low creatinine concentrations in serum and urine, in vivo proton magnetic resonance spectroscopy disclosed a generalized depletion of creatinine in the brain. Oral substitution of arginine, a substrate for creatine synthesis, resulted in an increase of b...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199409000-00023

    authors: Stöckler S,Holzbach U,Hanefeld F,Marquardt I,Helms G,Requart M,Hänicke W,Frahm J

    更新日期:1994-09-01 00:00:00

  • Schizophrenia and autism: both shared and disorder-specific pathogenesis via perinatal inflammation?

    abstract::Prenatal exposure to infection and subsequent inflammatory responses have been implicated in the etiology of schizophrenia and autism. In this review, we summarize current evidence from human and animal studies supporting the hypothesis that the pathogenesis of these two disorders is linked via exposure to inflammatio...

    journal_title:Pediatric research

    pub_type: 杂志文章,评审

    doi:10.1203/PDR.0b013e318212c196

    authors: Meyer U,Feldon J,Dammann O

    更新日期:2011-05-01 00:00:00

  • Effects of endothelin on renal function in newborn rabbits.

    abstract::The renal effects of endothelin-1 were investigated in 16 anesthetized and mechanically ventilated newborn rabbits. Renal blood flow and glomerular filtration rate were determined by the clearance of para-aminohippuric acid and inulin, respectively. Each animal acted as its own control. In eight newborn rabbits, a bol...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199308000-00002

    authors: Semama DS,Thonney M,Guignard JP,Gouyon JB

    更新日期:1993-08-01 00:00:00

  • Major determinants of height development in Turner syndrome (TS) patients treated with GH: analysis of 987 patients from KIGS.

    abstract::Little is known about factors determining height outcome during GH treatment in Turner syndrome (TS). We investigated 987 TS children within the Kabi International Growth Study (KIGS) who had reached near adult height (NAH) after >4 y GH treatment (including >1 y before puberty). Through multiple regression analysis w...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.pdr.0000250039.42000.c9

    authors: Ranke MB,Lindberg A,Ferrández Longás A,Darendeliler F,Albertsson-Wikland K,Dunger D,Cutfield WS,Tauber M,Wilton P,Wollmann HA,Reiter EO,KIGS International Board.

    更新日期:2007-01-01 00:00:00

  • Ultrastructural lesions in the small bowel of patients with cystic fibrosis.

    abstract::In the small bowel of patients with cystic fibrosis, primary defects involving both chloride transport and mucus secretion have been demonstrated, but there is no general consensus about the morphologic counterpart of functional and biochemical abnormalities. We have studied the intestinal mucosa in a group of patient...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199802000-00013

    authors: Sbarbati A,Bertini M,Catassi C,Gagliardini R,Osculati F

    更新日期:1998-02-01 00:00:00

  • Glutaric aciduria type II: in vitro studies on substrate oxidation, acyl-CoA dehydrogenases, and electron-transferring flavoprotein in cultured skin fibroblasts.

    abstract::The previous biochemical evidence had suggested that glutaric aciduria type II (GA II) is due to deficient dehydrogenation of multiple short-chain acyl coenzyme A's (CoA's), bu the precise biochemical mechanism underlying this disease was unknown. We investigated substrate oxidation and in vitro activities of isovaler...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198012000-00013

    authors: Rhead W,Mantagos S,Tanaka K

    更新日期:1980-12-01 00:00:00

  • Beta-glucuronidase deficiency in a dog: a model of human mucopolysaccharidosis VII.

    abstract::This report describes a third mucopolysaccharidosis in animals: canine mucopolysaccharidosis VII. The affected dog was the offspring of a father-daughter mating. Weakness in the rear legs was evident at 8 weeks of age and became progressively worse. He had a large head, a shortened maxilla, and corneal granularities. ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198410000-00014

    authors: Haskins ME,Desnick RJ,DiFerrante N,Jezyk PF,Patterson DF

    更新日期:1984-10-01 00:00:00

  • The role of growth hormone in stunted head growth after cranial irradiation.

    abstract::The head sizes of 38 patients, growth hormone (GH) deficient following craniospinal (n = 26) or cranial irradiation (n = 12), have been assessed before (n = 38) and on completion of GH therapy (n = 15) or at the end of a similar period of observation without GH (n = 7). These results were compared to the change in hea...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198710000-00007

    authors: Clayton PE,Shalet SM,Price DA,Surtees RA,Pearson D

    更新日期:1987-10-01 00:00:00

  • Mucosal immune response in a case of sudden infant death syndrome.

    abstract::A prospective study to define the normal patterns of development of mucosal immunity in 263 children provided a unique opportunity to study the mucosal immune response in an infant who unexpectedly died from sudden infant death syndrome. The subject initially had a normal pattern of mucosal immune function, which was ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199306000-00003

    authors: Gleeson M,Clancy RL,Cripps AW

    更新日期:1993-06-01 00:00:00

  • The RNA-binding protein RBM3 is required for cell proliferation and protects against serum deprivation-induced cell death.

    abstract::Hypoxia and other adverse conditions are commonly encountered by rapidly growing cells. The RNA-binding protein RBM3 (RNA-binding motif protein 3), which is transcriptionally induced by low temperature and hypoxia, has recently been implicated in survival of colon cancer cells by mechanisms involving cyclooxygenase-2 ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/PDR.0b013e3181c13326

    authors: Wellmann S,Truss M,Bruder E,Tornillo L,Zelmer A,Seeger K,Bührer C

    更新日期:2010-01-01 00:00:00

  • No neuroprotective effect of erythropoietin under clinical treatment conditions in a rabbit model of Escherichia coli meningitis.

    abstract::Despite effective antibiotic treatment, neuronal injury is frequent among children and adults with bacterial meningitis resulting in a high rate of death and neurologic sequelae. The hematopoietic cytokine erythropoietin (EPO) provides neuroprotection in models of acute and chronic neurologic diseases. We studied whet...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/PDR.0b013e318159af7a

    authors: Spreer A,Gerber J,Hanssen M,Nau R

    更新日期:2007-12-01 00:00:00

  • Hypoxia-ischemia stimulates hippocampal glutamate efflux in perinatal rat brain: an in vivo microdialysis study.

    abstract::We used in vivo microdialysis to determine the impact of a focal hypoxic-ischemic insult on hippocampal amino acid efflux in the immature brain. Microdialysis probes were inserted into the right hippocampus of postnatal d 7 rats. To induce hypoxic-ischemic injury, the right carotid artery was ligated and animals were ...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199112000-00021

    authors: Silverstein FS,Naik B,Simpson J

    更新日期:1991-12-01 00:00:00

  • Response to calcium of skinned gallbladder smooth muscle from newborn and adult guinea pigs.

    abstract::Guinea pig gallbladder smooth muscle contractility undergoes a period of postnatal maturation. Because tissues from adult animals contract more forcefully than tissues from newborn animals when stimulated with agonists that activate the contractile process through different mechanisms (receptor activation, membrane de...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199010000-00007

    authors: Lambert R,Ryan JP

    更新日期:1990-10-01 00:00:00

  • MicroRNA-93 may control vascular endothelial growth factor A in circulating peripheral blood mononuclear cells in acute Kawasaki disease.

    abstract:BACKGROUND:Kawasaki disease (KD) is the most common systemic vasculitis syndrome primarily affecting medium-sized arteries, particularly the coronary arteries. Though KD may be associated with immunological problems, the involvement of microRNAs (miRs) has not been fully described. METHODS:We enrolled 23 KD patients a...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2016.93

    authors: Saito K,Nakaoka H,Takasaki I,Hirono K,Yamamoto S,Kinoshita K,Miyao N,Ibuki K,Ozawa S,Watanabe K,Bowles NE,Ichida F

    更新日期:2016-09-01 00:00:00

  • Cry features reflect pain intensity in term newborns: an alarm threshold.

    abstract::The purpose of this study was to assess differences in sound spectra of crying of term newborns in relation to different pain levels. Fifty-seven consecutively born neonates were evaluated during heel-prick performed with different analgesic techniques. Crying was recorded and frequency spectrograms analyzed. A pain s...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000099793.99608.CB

    authors: Bellieni CV,Sisto R,Cordelli DM,Buonocore G

    更新日期:2004-01-01 00:00:00

  • Immunoblot analysis of antibody binding to polypeptides of Borrelia burgdorferi in children with different clinical manifestations of Lyme disease.

    abstract::We analyzed by means of immunoblot technique the patterns of antibodies binding to polypeptides of Borrelia burgdorferi B31 in the sera of 21 children with different stages of Lyme disease. All sera but one recognized the flagellar protein 41 kD and all but two the 83-kD protein. The number of proteins recognized rose...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198910000-00019

    authors: Nadal D,Taverna C,Hitzig WH

    更新日期:1989-10-01 00:00:00

  • Scalp blood flow, measured by laser Doppler flowmetry, and transcutaneous PO2 and PCO2 in the lamb.

    abstract::To describe the relation between scalp blood flow and transcutaneous PO2 and PCO2, these three signals were recorded simultaneously in eight experiments on four healthy lambs in the first weeks after birth. Scalp blood flow was recorded by a laser Doppler flow sensor that was incorporated in the transcutaneous PO2 ele...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199005000-00005

    authors: Smits TM,Aarnoudse JG,Zijlstra WG

    更新日期:1990-05-01 00:00:00

  • Gastrointestinal blood flow and O2 uptake in piglets: recovery from hypoxemia.

    abstract::Gastrointestinal (GI) blood flow, O2 transport, and O2 uptake were measured during recovery from severe hypoxemia in newborn piglets. Hypoxemia was induced by lowering the inspired O2 concentration to 0.05 for 15 min. This resulted in an 82% decrease in GI O2 uptake. Recovery measurements were obtained 5 and 65 min af...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198511000-00017

    authors: Nowicki PT,Miller RR,Hansen NB,Hayes JR

    更新日期:1985-11-01 00:00:00

  • Interaction between inhaled nitric oxide and intravenous sildenafil in a porcine model of meconium aspiration syndrome.

    abstract::There has been recent interest in the use of the phosphodiesterase-5 inhibitor sildenafil for treating pulmonary hypertension. We examined the interaction between inhaled nitric oxide (iNO) and i.v. sildenafil in 12 piglets with acute pulmonary hypertension and lung injury secondary to meconium aspiration. Six animals...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000112033.81970.C2

    authors: Shekerdemian LS,Ravn HB,Penny DJ

    更新日期:2004-03-01 00:00:00

  • Leptin levels and body fatness in children: effects of gender, ethnicity, and sexual development.

    abstract::Leptin, a hormone secreted by adipocytes, is elevated in blood of obese adults. It is unknown whether the concentration is affected by gender, ethnicity, age, or stage of sexual maturation in children. We measured serum leptin levels in 183 children and 27 young adults using a double-antibody ELISA assay. Body fat mas...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-199710000-00010

    authors: Ellis KJ,Nicolson M

    更新日期:1997-10-01 00:00:00

  • Systems-level perspective of sudden infant death syndrome.

    abstract::Sudden infant death syndrome (SIDS) remains one of the primary causes of infant mortality in developed countries. Although the causes of SIDS remain largely inconclusive, some of the most informative associations implicate molecular, genetic, anatomical, physiological, and environmental (i.e., infant sleep) factors. T...

    journal_title:Pediatric research

    pub_type: 杂志文章,评审

    doi:10.1038/pr.2014.90

    authors: Salomonis N

    更新日期:2014-09-01 00:00:00

  • Differential effects of cholesterol and budesonide on biophysical properties of clinical surfactant.

    abstract:INTRODUCTION:Corticosteroids have been widely used in clinical medicine as a first-line therapy to modify the inflammatory response in many pulmonary and systemic diseases. Inhaled and intratracheally administered corticosteroids have a particular interest in that their use allows the clinician to circumvent systemic s...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2011.78

    authors: Zhang H,Wang YE,Neal CR,Zuo YY

    更新日期:2012-04-01 00:00:00

  • Salivary cortisol levels as a biomarker for severity of withdrawal in opioid-exposed newborns.

    abstract:BACKGROUND:Scoring tools used to quantify withdrawal in infants with neonatal abstinence syndrome (NAS) are often confounded by subjective measurements. This study assessed salivary cortisol as an objective biomarker of withdrawal severity in opioid-exposed newborns. METHODS:A prospective study was conducted in 25 ful...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-019-0601-7

    authors: Rodriguez N,Vining M,Bloch-Salisbury E

    更新日期:2020-05-01 00:00:00

  • The effects of omega-3 fatty acid supplementation in pregnancy on maternal eicosanoid, cytokine, and chemokine secretion.

    abstract::The incidence of allergic diseases has increased, and a relation between allergy and dietary fatty acids has been proposed. Modulation of the maternal immune function during pregnancy may have an impact on future clinical outcomes in the child. The aim of this study was to determine the effects of omega (omega)-3 long...

    journal_title:Pediatric research

    pub_type: 杂志文章,随机对照试验

    doi:10.1203/PDR.0b013e3181aabd1c

    authors: Warstedt K,Furuhjelm C,Duchén K,Fälth-Magnusson K,Fagerås M

    更新日期:2009-08-01 00:00:00

  • Early human brain development: insights into macroscale connectome wiring.

    abstract:BACKGROUND:Early brain development is closely dictated by distinct neurobiological principles. Here, we aimed to map early trajectories of structural brain wiring in the neonatal brain. METHODS:We investigated structural connectome development in 44 newborns, including 23 preterm infants and 21 full-term neonates scan...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-018-0138-1

    authors: Keunen K,van der Burgh HK,de Reus MA,Moeskops P,Schmidt R,Stolwijk LJ,de Lange SC,Išgum I,de Vries LS,Benders MJ,van den Heuvel MP

    更新日期:2018-12-01 00:00:00

  • Effect of television viewing at mealtime on food intake after a glucose preload in boys.

    abstract::Television viewing (TVV) is considered a contributing factor to the development of childhood obesity yet it is unclear whether obesity results, in part, from increased energy intake during TVV. The objective of this study was to determine the effect of TVV on food intake (FI) of boys at a meal and its effect on calori...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/pdr.0b013e3180536591

    authors: Bellissimo N,Pencharz PB,Thomas SG,Anderson GH

    更新日期:2007-06-01 00:00:00

  • Phototherapy for neonatal jaundice: in vitro comparison of light sources.

    abstract::Phototherapy results in the conversion of bilirubin to more water-soluble isomers. Six clinically used phototherapy lamps which differ in their emission spectra have been compared in their ability to produce configurational and structural isomers of bilirubin in vitro. For all of the lamps, the initial rate of configu...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/00006450-198407000-00021

    authors: Ennever JF,Sobel M,McDonagh AF,Speck WT

    更新日期:1984-07-01 00:00:00

  • Methylglyoxal concentrations differ in standard and washed neonatal packed red blood cells.

    abstract:BACKGROUND:Preterm infants have a greater risk of necrotizing enterocolitis following transfusion. It is hypothesized that high glucose concentrations in red blood cell (RBC) preservatives lead to increased methylglyoxal (MG) metabolism, causing glycation-driven damage to transfused RBCs. Such changes to the RBCs could...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/pr.2013.243

    authors: Kiefer AS,Fleming T,Eckert GJ,Poindexter BB,Nawroth PP,Yoder MC

    更新日期:2014-03-01 00:00:00

  • Helicobacter pylori-specific immune response in maternal serum, cord blood, and human milk among mothers with and without current Helicobacter pylori infection.

    abstract::We assessed the patterns of Helicobacter pylori (H. pylori) specific maternal antibodies in maternal serum, cord blood, and milk, which might play a role in prevention of H. pylori infection because transferred to the infant. Between November 2000 and November 2001, mothers were recruited after delivery of their offsp...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1203/01.PDR.0000181370.67474.FD

    authors: Weyermann M,Borowski C,Bode G,Gürbüz B,Adler G,Brenner H,Rothenbacher D

    更新日期:2005-11-01 00:00:00

  • Intranasal fluticasone furoate in pediatric allergic rhinitis: randomized controlled study.

    abstract:BACKGROUND:Intranasal corticosteroids are the most efficacious anti-inflammatory medications for allergic rhinitis (AR). However, the efficacy and safety of intranasal corticosteroids in children have not yet been subject to specific research in China. The aim of this study was to investigate the efficacy and safety of...

    journal_title:Pediatric research

    pub_type: 杂志文章

    doi:10.1038/s41390-020-01180-0

    authors: Zhang Y,Wei P,Chen B,Li X,Luo X,Chen X,Xiang M,Li L,Zhao S,Xiao X,Yang X,Chen J,Fu Y,Xiao S,Liu H,Cheng L,Yao H

    更新日期:2020-10-02 00:00:00