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Published on: January 11, 2016
Cortical evoked potentials in children of diabetic mothers
Mario Brinciotti1, Angela Napoli, Antonio Mittica
1Department of Pediatrics and Child Neuropsychiatry, Faculty of Medicine and Dentistry, Sapienza University of Rome, 00185 Rome, Italy. mario.brinciotti@uniroma1.it
Insights
Children born to mothers with type 1 diabetes may experience delays in visual evoked potential (VEP) and somatosensory evoked potentials (SEP) development. These delays are linked to maternal metabolic control during pregnancy.
Area of Science:
- Neuroscience
- Pediatrics
- Endocrinology
Background:
- Maternal diabetes during pregnancy can impact fetal development.
- Previous studies indicated visual evoked potential (VEP) delays in infants of diabetic mothers, linked to metabolic control.
- The effects on somatosensory evoked potentials (SEPs) and long-term outcomes at age 3 were less understood.
Purpose of the Study:
- To investigate the neurophysiological development of children born to type 1 diabetic mothers at age 3.
- To compare visual evoked potentials (VEPs) and somatosensory evoked potentials (SEPs) in children of diabetic mothers versus healthy controls.
- To assess the relationship between maternal metabolic control and evoked potential outcomes.
Main Methods:
- VEPs and SEPs were recorded in 16 three-year-old children of type 1 diabetic mothers (DMC).
- A control group of 23 healthy children from nondiabetic mothers was used for comparison.
- Analysis focused on mean latency (P2 for VEP, P22 for SEP) and pathological responses.
Main Results:
- Children of diabetic mothers (DMC) exhibited significantly delayed mean latency in both VEP (P2) and SEP (P22) compared to controls.
- Pathological responses, defined as >3 SD from the control mean, were observed in 19% of DMC for both VEPs and SEPs.
- These findings indicate a delay in cortical evoked responses in both visual and somatosensory systems in 3-year-old offspring of type 1 diabetic mothers.
Conclusions:
- Offspring of type 1 diabetic mothers demonstrate delayed cortical evoked responses in both visual and somatosensory pathways at age 3.
- These neurophysiological delays suggest potential long-term effects of maternal diabetes on offspring neurodevelopment.
- Further research is warranted to explore the specific mechanisms and long-term implications of these findings.
Abstract:
Type 1 diabetic mothers' infants show a delay of visual evoked potential (VEP) significantly related to some parameters of poor metabolic control during pregnancy. In the present paper we analyzed the characteristics of VEPs and somatosensory evoked potentials (SEPs) recorded in 16 three-year-old type 1 diabetic mothers' children (DMC). Compared with controls (23 nondiabetic mothers' healthy matched children), DMC showed significantly delayed mean latency of VEP (P2) and SEP (P22). In 3 cases (19%), we found pathological responses (+3 SD from the mean value of controls) of VEPs and SEPs. At the age of 3 years, the offspring of type 1 diabetic mothers showed delay of cortical evoked responses in both visual and somatosensory systems.
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