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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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[Neuropsychological syndromes of infancy]

M L Dunaĭkin

    Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
    |April 23, 2008
    PubMed

    Insights

    Infants with mild perinatal encephalopathy show distinct left and right brain hemisphere syndromes impacting communication and behavior. These syndromes may stem from underlying global neurodynamics disturbances.

    Area of Science:

    • Neuropsychology
    • Developmental Pediatrics
    • Neuroscience

    Context:

    • Study investigated 77 infants with mild perinatal encephalopathy.
    • Focused on infants with dysfunction in one brain hemisphere.
    • Utilized O.V. Bazhenova's (1986) method for assessing neuropsychological syndromes.

    Purpose:

    • To characterize and differentiate neuropsychological syndromes in infants with unilateral brain hemisphere dysfunction.
    • To explore the relationship between specific hemispheric syndromes and developmental patterns.
    • To identify potential underlying neurodynamic disturbances.

    Summary:

    • Right hemisphere syndrome: reduced reactivity, early emotional communication, advanced complex communication, and object-oriented interests.
    • Left hemisphere syndrome: high reactivity, generalized activity, weak regulation, delayed complex communication, but strong early emotional communication.
    • Syndrome exacerbation differs: left-hemisphere issues worsen with overstimulation, right-hemisphere with understimulation.

    Impact:

    • Provides distinct profiles for left and right hemisphere syndromes in infants with perinatal encephalopathy.
    • Suggests global neurodynamics disturbances as a potential etiological factor.
    • Informs targeted interventions for infants with specific hemispheric impairments.

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