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Measuring Cardiac Autonomic Nervous System ANS Activity in Toddlers - Resting and Developmental Challenges
Published on: February 25, 2016
An overview of developmental dysregulation of autonomic control in infants
Adulzir E Altamirano1,2, Christopher G Wilson2
1Center for Health Disparities, Loma Linda University, Loma Linda, California, USA.
Insights
Developmental disorders can disrupt autonomic nervous system (ANS) regulation in infants. This review covers apnea of prematurity, sudden infant death syndrome, and Rett syndrome, detailing their mechanisms and treatments.
Area of Science:
- Neuroscience
- Developmental Biology
- Pediatrics
Background:
- Autonomic nervous system (ANS) dysregulation is a significant factor in various developmental disorders.
- Perinatal conditions can profoundly impact neurodevelopmental outcomes.
Purpose of the Study:
- To review developmental disorders associated with autonomic nervous system dysregulation.
- To explore the mechanisms, treatments, and preventative measures for these conditions.
- To update understanding of ANS dysregulation's impact on brainstem circuit development.
Main Methods:
- Literature review of perinatal conditions affecting developmental outcomes.
- Analysis of clinical descriptions, hypothesized mechanisms, and standard treatments.
- Consideration of preventative strategies and complications.
Main Results:
- Apnea of prematurity, sudden infant death syndrome, and Rett syndrome are key conditions discussed.
- Insights into the pathogenesis of autonomic dysregulation in neonates are provided.
- Current treatment standards and future therapeutic options are highlighted.
Conclusions:
- Autonomic nervous system dysregulation significantly impacts infant development and brainstem circuitry.
- Further research into novel treatments and understanding controversies is warranted.
Abstract:
In this short review, we provide an overview of developmental disorders causing autonomic nervous system dysregulation. We briefly discuss perinatal conditions that adversely impact developmental outcomes including apnea of prematurity, sudden infant death syndrome, and Rett syndrome. We provide a brief clinical description, an overview of known or hypothesized mechanisms for the disorder, and current standard of practice for treatment of each condition. Additionally, we consider preventative measures and complications of these disorders to provide further insight into the pathogenesis of specific autonomic dysregulation in neonates. The goal of this short review is to provide an updated understanding of the impact of autonomic dysregulation on development of brainstem circuits and to briefly highlight promising future treatment options and controversies.
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