Psihomotorni razvoj donošenih novorojencev z ventrikulomegalijo = Psychomotor development in term newborns with ventriculomegaly
Felc, Zlata ; Alif, Ivan ; Ilijaš-Trofenik, Ana
Background. This retrospective study was performed to asses the psychomotor development of term newborns with ventriculomegaly. Methods. Ultrasound scans were performed on each of 3698 consecutive ...term newborns delivered throughout 24 months ending December 31, 1994. We have two groups: the first one consisted of 12 newborns with ventriculomegaly and the second group consisted of 24 newborns without ventriculomegaly. Inclusion citeria were the same for both group: at least one examination with ultrasound during pregnancy, Apgar score >-6 at 1st minute and >-7 at 5th minutes, normal clinical status. In both groups was normal cerebral sonogram, difference between groups was only in the width of frontal part of lateral cerebral ventricle: 5-10 mm in ventriculomegaly group, up to 4 mm in group without ventriculomegaly. During the first year psychomotor development was followed up by the pediatrician experienced in development neurology. Results. During our screening, 12 cases of isolated mild lateral ventriculomegaly were noted at an incidence of 3.2 per 1,000 term newborns. Apgar score at 5th minutes was lower in study group (hi2 = 7.483; P<0.05); maternal age, head circumference, birth weight were notstatistically different between groups. Psychomotor development was less optimal in ventriculomegaly group (hi2 - 10.990, P<0.01). Conclusions. Our study group was small but results suggest that clinically asymptomatic term newborns with ventriculomegaly need follow up to provide treatment in due time.
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