%0 Journal Article %1 Staneva2002 %A Staneva, K. N. %A Hartmann, S. %A Uhlemann, M. %A Dietze, H. %A Reschke, E. %A Koepcke, E. %A Sadenwasser, W. %A K?lz, Th %D 2002 %J Z Geburtshilfe Neonatol %K Abruptio Placentae; Anemia, Neonatal; Asphyxia Neonatorum; Atrophy; Brain; Brain Damage, Chronic; Cerebral Palsy; Echoencephalography; Female; Fetal Hypoxia; Gestational Age; Humans; Hypoxia, Infant, Newborn; Premature, Diseases; Leukomalacia, Periventricular; Male; Predictive Value of Tests; Pregnancy; Reference Values; Retrospective Studies; Risk Factors; Ultrasonography, Prenatal %N 4 %P 142--150 %R 10.1055/s-2002-33668 %T Neonatal ultrasonographic cerebral findings: association with risk factor for cerebral palsy %U http://dx.doi.org/10.1055/s-2002-33668 %V 206 %X BACKGROUND: Is it possible to identify patients with cerebral palsy (CP) with postnatal ultrasound scan? Which risk factors are associated with an increased risk of CP?. PATIENTS AND METHODS: The data of 37 children with CP, who were sonographically investigated during the first 24 hours of life were analyzed retrospectively. The data of 21 preterm infants with gestational age </= 32 wk were compared with the data of 59 without CP. RESULTS: A tetraparesis was found in 15/21 of preterm babies </= 32 wk, a hemiparesis in 4/8 of premature infants >/= 33 wk and in 5/8 of the mature babies. The mature babies had prenatal brain atrophy or hypoxic-ischaemic cerebral lesions. Cytomegaly and encephalitis were detected in two babies. Immature babies >/= 33 wk showed prenatal porencephaly or encephalomalacia after asphyxia. Premature babies </= 32 wk had cystic periventricular leucomalacia (n=12) or cerebral haemorrhage (n=3); 3 babies had meningitis. Only two prematures </= 32 wk with mild CP had inconspicuous ultrasound scans. Factors associated with cerebral palsy were: cystic periventricular leucomalacia (OR 24,89; 95 \% CI: 5,85 - 105,87), cerebral atrophy (OR 4,84; 95 \% CI: 1,61 - 14,51), fetal hypoxia (CTG) - (OR 4,78; 95 \% CI: 1,31 - 17,45), abruptio placentae (OR 4,32; 95 \% CI: 1,16 - 16,13), anemia after birth (OR 18,13; 95 \% CI: 1,97 - 166,43), abnormal neurological behavior at term (OR 14,00; 95 \% CI: 3,29 - 59,55). CONCLUSION: Cerebral ultrasound scan after birth is a useful method detect for cerebral lesions in patients with CP-risks.

@article{Staneva2002, abstract = {BACKGROUND: Is it possible to identify patients with cerebral palsy (CP) with postnatal ultrasound scan? Which risk factors are associated with an increased risk of CP?. PATIENTS AND METHODS: The data of 37 children with CP, who were sonographically investigated during the first 24 hours of life were analyzed retrospectively. The data of 21 preterm infants with gestational age </= 32 wk were compared with the data of 59 without CP. RESULTS: A tetraparesis was found in 15/21 of preterm babies </= 32 wk, a hemiparesis in 4/8 of premature infants >/= 33 wk and in 5/8 of the mature babies. The mature babies had prenatal brain atrophy or hypoxic-ischaemic cerebral lesions. Cytomegaly and encephalitis were detected in two babies. Immature babies >/= 33 wk showed prenatal porencephaly or encephalomalacia after asphyxia. Premature babies </= 32 wk had cystic periventricular leucomalacia (n=12) or cerebral haemorrhage (n=3); 3 babies had meningitis. Only two prematures </= 32 wk with mild CP had inconspicuous ultrasound scans. Factors associated with cerebral palsy were: cystic periventricular leucomalacia (OR 24,89; 95 \% CI: 5,85 - 105,87), cerebral atrophy (OR 4,84; 95 \% CI: 1,61 - 14,51), fetal hypoxia (CTG) - (OR 4,78; 95 \% CI: 1,31 - 17,45), abruptio placentae (OR 4,32; 95 \% CI: 1,16 - 16,13), anemia after birth (OR 18,13; 95 \% CI: 1,97 - 166,43), abnormal neurological behavior at term (OR 14,00; 95 \% CI: 3,29 - 59,55). CONCLUSION: Cerebral ultrasound scan after birth is a useful method detect for cerebral lesions in patients with CP-risks.}, added-at = {2014-07-19T21:23:11.000+0200}, author = {Staneva, K. N. and Hartmann, S. and Uhlemann, M. and Dietze, H. and Reschke, E. and Koepcke, E. and Sadenwasser, W. and K?lz, Th}, biburl = {https://www.bibsonomy.org/bibtex/2e45330769a96e15df979551ee777b939/ar0berts}, doi = {10.1055/s-2002-33668}, groups = {public}, interhash = {ff0c4c6fca0695528de8d791521536f2}, intrahash = {e45330769a96e15df979551ee777b939}, journal = {Z Geburtshilfe Neonatol}, keywords = {Abruptio Placentae; Anemia, Neonatal; Asphyxia Neonatorum; Atrophy; Brain; Brain Damage, Chronic; Cerebral Palsy; Echoencephalography; Female; Fetal Hypoxia; Gestational Age; Humans; Hypoxia, Infant, Newborn; Premature, Diseases; Leukomalacia, Periventricular; Male; Predictive Value of Tests; Pregnancy; Reference Values; Retrospective Studies; Risk Factors; Ultrasonography, Prenatal}, number = 4, pages = {142--150}, pmid = {12198591}, timestamp = {2014-07-19T21:23:11.000+0200}, title = {[Neonatal ultrasonographic cerebral findings: association with risk factor for cerebral palsy]}, url = {http://dx.doi.org/10.1055/s-2002-33668}, username = {ar0berts}, volume = 206, year = 2002 }