engleski

Methods of neurological assessment of neonates

Fifty-one singleton term born neonates with late- onset IUGR (≥ 34 weeks gestation, fetal weight below 10th percentile) were included in the prospective observational study. Neurological outcome was based on cranial ultrasound (cUS) findings and Amiel-Tison Neurological Assessment at Term (ATNAT), performed during the first week of life. While the cUS findings were predominantly normal (n = 27 or 53%), the results of ATNAT were mostly non-optimal (n = 33 or 65%). Almost half of the neonates with normal brain morphology based on sonography findings showed some degree of clinical neurological signs (n = 12 or 44%), mostly of minor or mild degrees. Only 15 (29%) neonates had an optimal neurological outcome based on the both methods of assessment. The fact that clinical neurological signs were so frequent, althought mostly subtle or mild, emphasises the importance of such a detailed neurological assessment as ATNAT from the earliest age. I

IUGR, neurological assessment of neonates

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