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Related Experiment Videos

[Isolated neonatal dysfunction of brainstem]

V Abadie1, G Chéron, S Lyonnet

  • 1Département de pédiatrie, hôpital Necker-Enfants-Malades, Paris, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|February 1, 1996
PubMed
Summary

Brainstem dysfunction in newborns (BDN) involves feeding and breathing issues, often linked to developmental syndromes. Early diagnosis and management are crucial for better outcomes in affected infants.

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Area of Science:

  • Neonatal neurology
  • Pediatric gastroenterology
  • Developmental pediatrics

Context:

  • Brainstem dysfunction in newborns (BDN) is a condition characterized by difficulties with sucking and swallowing, originally observed within the Pierre Robin sequence.
  • BDN is hypothesized to stem from impaired embryonic development of the sucking and swallowing mechanisms.

Purpose:

  • To characterize brainstem dysfunction in newborns (BDN) presenting with suck and swallow abnormalities.
  • To identify associated malformations and evaluate the clinical course and outcomes in infants with BDN.

Summary:

  • A study of 48 infants without cleft palate revealed BDN symptoms including feeding difficulties, pharyngo-esophageal discoordination, airway obstruction, and vagal overactivity.
  • Fifteen infants without syndromic malformations exhibited facial dysmorphisms and feeding/respiratory issues, with 50% experiencing moderate mental retardation despite good functional prognosis.

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  • Diagnosis involved clinical assessment, laryngoscopy, esophageal manometry, and Holter monitoring; management focused on nutritional and respiratory support.

    • Impact:

    • Highlights the need for specific management strategies for nutritional and respiratory problems in infants with BDN.
    • Emphasizes the importance of actively screening for underlying polymalformative syndromes and conducting thorough neurologic evaluations in infants diagnosed with BDN.