Document Detail

Fetal and neonatal neurologic case histories: assessment of brain disorders in the context of fetal-maternal-placental disease. Part 2: Neonatal neurologic consultations in the context of adverse antepartum and intrapartum events.
MedLine Citation:
PMID:  12731639     Owner:  NLM     Status:  MEDLINE    
The more conventional role of the pediatric neurologist involves the evaluation of the child after birth. Although the pediatric neurologist rarely attends the delivery of the neonate, consultation by the neurologist should begin immediately following stabilization by the neonatal resuscitation team. Four interrelated aspects of the neurologist's clinical assessment will be discussed in the context of reaching a consultative opinion, which must incorporate knowledge of chronologic events before as well as during labor and delivery. This evaluation encompasses an assessment of levels of arousal, increased or decreased muscle tone, presence of seizures, and effects of systemic diseases on the central nervous system, which are the essential elements of a complete neurologic examination. Documentation of the neonate's neurologic condition, together with knowledge of maternal, fetal, and placental diseases, will help anticipate neuroresuscitative decisions, as well as subsequent neurologic deficits.
Mark S Scher
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Journal of child neurology     Volume:  18     ISSN:  0883-0738     ISO Abbreviation:  J. Child Neurol.     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-05-06     Completed Date:  2003-07-30     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  155-64     Citation Subset:  IM    
Department of Pediatrics, Rainbow Babies and Children's Hospital, Cleveland, OH 44106, USA.
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MeSH Terms
Brain Injuries / embryology*,  etiology
Central Nervous System Diseases / embryology*,  etiology
Fetal Diseases / physiopathology
Fetal Distress / complications,  embryology
Fetus / physiopathology*
Infant, Newborn
Magnetic Resonance Imaging
Muscle Tonus
Perinatal Care*
Placenta Diseases / complications
Seizures / complications,  etiology
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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