在产前被诊断为中线大脑形的儿童的发育,内分泌和眼科结果
McKenna L Coletti1, Jennifer C Keene1, Allison R Smego2
1Division of Child Neurology, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
Pediatric neurology
|April 14, 2025
概括
中线大脑形 (MBMs) 需要多学科查. 虽然孤立的MBM通常具有良好的结果,但所有患有MBM的婴儿都有可能出现并发症,并从产后监测中受益.
科学领域:
- 神经科学是一个神经科学.
- 发展生物学 发展生物学
- 儿科神经学 儿科神经学
背景情况:
- 中线大脑形 (MBMs) 经常在产前被诊断出来.
- MBM与显著的内分泌,眼科和发育挑战有关.
研究的目的:
- 评估怀疑MBM的新生儿的诊断途径和结果.
- 评估MBM亚型与随后的诊断和发展轨迹之间的关联.
主要方法:
- 在区域推中心对怀疑MBM的新生儿 (2018-2022) 进行回顾性审查.
- 将MBM分类为缺席腔隔膜透光 (ASP) 和阿吉里亚/帕奇吉里亚/轻脑症 (AgCC) 频谱,以及全脑脑症频谱.
- 标准化评估途径,以评估后续的诊断和结果.
主要成果:
- 与单独的ASP或AgCC相比,全脑发育与更高的死亡率和普遍发育延迟有关.
- 患有孤立的MBM (ASP,AgCC) 的婴儿有更好的结果,大多数活着,在随访时没有重大诊断.
- 所有的MBM组都表现出并发症的风险,视神经缺血和内分泌问题的中位数诊断时间在生命的第一周内.
结论:
- 对于所有被诊断为MBM的婴儿,多学科查至关重要.
- 虽然孤立的MBM可能具有有利的结果,但所有MBM亚型都会带来并发症的风险.
- 建议对所有患有MBM的婴儿进行产后多专业监测,以管理潜在的并发症.
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