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Neonatal neurologic prognostication: the asphyxiated term newborn
M I Shevell1, A Majnemer, S P Miller
1Department of Neurology/Neurosurgery, McGill University Faculty of Medicine, Montreal, Quebec, Canada.
Pediatric Neurology
|December 11, 1999
Summary
Predicting neurologic outcomes for asphyxiated term newborns is challenging. This review examines available tools and proposes a new paradigm to improve prognostic accuracy for these infants.
Area of Science:
- Neonatal neurology
- Pediatric neurology
- Clinical neurophysiology
Background:
- Pediatric neurologists frequently encounter situations requiring prediction of neurologic outcomes.
- Asphyxiated term newborns represent a common and challenging clinical scenario for prognostication.
Observation:
- Assessing neurologic outcomes in newborns experiencing perinatal asphyxia is complex.
- Existing predictive tools for this population have limitations.
Findings:
- This report reviews current predictive tools for neurologic prognostication in asphyxiated term newborns.
- A practical paradigm is formulated to enhance predictive accuracy.
Implications:
- The proposed paradigm aims to reduce uncertainty in predicting neurologic outcomes.
- Improved prognostication can guide clinical management and parental counseling for affected newborns.