Document Detail


Prenatal cocaine exposure and cranial sonographic findings in preterm infants.
MedLine Citation:
PMID:  11425091     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Prenatal cocaine exposure has been linked with subependymal hemorrhage and the formation of cysts that are detectable on cranial sonography in neonates born at term. We sought to determine if prenatal cocaine exposure increases the incidence of subependymal cysts in preterm infants. METHODS: We retrospectively reviewed the medical records and cranial sonograms obtained during a 1-year period on 122 premature (< 36 weeks of gestation) infants. Infants were categorized into 1 of 2 groups: those exposed to cocaine and those not exposed to cocaine. Infants were assigned to the cocaine-exposed group if there was a maternal history of cocaine abuse during pregnancy or if maternal or neonatal urine toxicology results were positive at the time of delivery. RESULTS: Five of the 122 infants were excluded from the study because of insufficient medical and drug histories. The incidence of subependymal cysts in the 117 remaining infants was 14% (16 of 117). The incidence of subependymal cysts in infants exposed to cocaine prenatally was 44% (8 of 18) compared with 8% (8 of 99) in the unexposed group (p < 0.01). CONCLUSIONS: We found an increased incidence of subependymal cyst formation in preterm infants who were exposed to cocaine prenatally. This result is consistent with results of similar studies in term infants.
Authors:
L M Smith; N Qureshi; R Renslo; R M Sinow
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  29     ISSN:  0091-2751     ISO Abbreviation:  J Clin Ultrasound     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-06-26     Completed Date:  2001-07-19     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  United States    
Other Details:
Languages:  eng     Pagination:  72-7     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of California, Los Angeles, School of Medicine, Harbor-UCLA Medical Center, Torrance 90502, USA.
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MeSH Terms
Descriptor/Qualifier:
Brain Diseases / etiology,  ultrasonography*
Case-Control Studies
Cocaine / adverse effects*
Cocaine-Related Disorders
Cysts / etiology,  ultrasonography*
Echoencephalography*
Female
Humans
Infant, Newborn
Infant, Premature, Diseases / etiology,  ultrasonography*
Pregnancy
Pregnancy Complications
Prenatal Exposure Delayed Effects
Grant Support
ID/Acronym/Agency:
3 M01 RR00425-2754/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
50-36-2/Cocaine

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


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