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[Birth trauma to the central nervous system in premature infants, its incidence and structure]
Insights
This study of 1097 newborns reveals frequent congenital central nervous system (CNS) disorders. Lumbar puncture and spinal imaging are vital for diagnosing birth injuries, particularly in premature infants.
Area of Science:
- Neurology
- Pediatrics
- Radiology
Context:
- Analysis of 1097 newborn case reports.
- Focus on congenital central nervous system (CNS) disorders and birth injuries.
- Evaluation of diagnostic methods in neonates.
Purpose:
- To determine the frequency of congenital CNS disorders in newborns.
- To assess the diagnostic utility of lumbar puncture, REG, and cervical spine radiography for CNS birth injuries.
- To investigate trends in birth injury types and their relation to prematurity.
Summary:
- Congenital CNS disorders were found in 86.4% of newborns.
- Lumbar puncture showed high diagnostic potential.
- CNS birth injuries, including cervical spine trauma and hematomas, were diagnosed in 71.9% of patients.
- A decrease in vertebral column birth injuries and an increase in hematomas were observed with rising rates of immature newborns.
Impact:
- Highlights the high prevalence of neonatal CNS issues.
- Emphasizes the importance of specific diagnostic tools for early detection.
- Provides insights into changing patterns of birth injuries related to neonatal care advancements.
Abstract:
The analysis of 1097 newborns case reports is carried out, the high frequency (86.4%) of congenital CNS disorders and high diagnostic possibilities of lumbar puncture are showed as well as REG and roentgenography of the vertebral column cervical portion in CNS birth injury diagnostics, which has been revealed in 71.9% of patients (60.8%--trauma of the cervical portion of the vertebral column with haematoma in CNS and 4.8%--haematoma in CNS). Decreasing of vertebral column birth injury frequency and increasing of haematoma cases frequency with enhancing of immature newborns rate are revealed, which ratio in mature and immature of the I, II, III and the IV degrees is as 9.4; 10.6; 5.2; 2.1; 0.6.