Article
Pediatrics
Astrid Nieuwets, Mehmet N. Cizmeci, Floris Groenendaal, Lara M. Leijser, Corine Koopman, Manon J. N. L. Benders, Jeroen Dudink, Linda S. de Vries, Niek E. van der Aa
Summary: Background data on microstructural white matter integrity in preterm infants with post-hemorrhagic ventricular dilatation using diffusion tensor imaging are limited. This study found that extremely preterm infants with PHVD showed lower fractional anisotropy values in their corpus callosum compared with controls, and this impaired microstructure was associated with cognitive and motor scores at 2-years-corrected age.
PEDIATRIC RESEARCH
(2022)
Review
Clinical Neurology
Praveen Ballabh, Linda S. de Vries
Summary: IVH is a major complication of prematurity that can lead to cerebral palsy and cognitive impairment. There is no optimal therapy, but stem cell treatment and/or endoscopic removal of clots from the cerebral ventricles may improve outcomes for patients.
NATURE REVIEWS NEUROLOGY
(2021)
Article
Pediatrics
Caterina Coviello, Serafina Perrone, Giuseppe Buonocore, Simona Negro, Mariangela Longini, Carlo Dani, Linda S. de Vries, Floris Groenendaal, Daniel C. Vijlbrief, Manon J. N. L. Benders, Maria Luisa Tataranno
Summary: The study found that preterm white matter is vulnerable to lipid peroxidation injury, and measuring F2-isoprostanes (IPs) within 24-48 hours postnatal may help identify newborns at risk for brain injury.
FRONTIERS IN PEDIATRICS
(2021)
Article
Pediatrics
Julia Buchmayer, Gregor Kasprian, Vito Giordano, Victor Schmidbauer, Philipp Steinbauer, Katrin Klebermass-Schrehof, Angelika Berger, Katharina Goeral
Summary: This study focused on cerebral abnormalities in extremely premature infants after routine cerebral magnetic resonance imaging (cMRI) at term-equivalent age, finding that intraventricular hemorrhage (IVH), white matter disease, and cerebellar injuries were the most frequently identified abnormalities.
JOURNAL OF PEDIATRICS
(2022)
Article
Medicine, General & Internal
Frank H. Bloomfield, Yannan Jiang, Jane E. Harding, Caroline A. Crowther, Barbara E. Cormack
Summary: This study found that giving extra parenteral amino acids at a dose of 1 g per day for 5 days after birth did not increase the number of infants with extremely low birth weight who survived without neurodisability at 2 years.
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Neurosciences
Hassna Irzan, Erika Molteni, Michael Hutel, Sebastien Ourselin, Neil Marlow, Andrew Melbourne
Summary: The study found significant alterations in white matter connectivity in extremely preterm young adults at both macro-and microstructural levels, with overall diminished connectivity but comparable spatial configuration of WM fibres with fewer WM fibres per voxel. These alterations are widespread throughout the brain, particularly concentrated along pathways between deep grey matter regions, frontal regions, and the cerebellum, indicating that white matter abnormalities persist into early adulthood in individuals exposed to the extrauterine environment prematurely.
Article
Nutrition & Dietetics
Lisa M. Hortensius, Els Janson, Pauline E. van Beek, Floris Groenendaal, Nathalie H. P. Claessens, Henriette F. N. Swanenburg de Veye, Maria J. C. Eijsermans, Corine Koopman-Esseboom, Jeroen Dudink, Ruurd M. van Elburg, Manon J. N. L. Benders, Maria Luisa Tataranno, Niek E. van der Aa
Summary: The study found that higher postnatal protein intake is important for white matter development in extremely preterm born infants, but may not necessarily improve long-term cognitive and motor development. While higher protein intake was associated with higher white matter integrity, it was also linked to lower motor scores at 2 years corrected age. However, these differences were not sustained at 5.9 years.
Article
Pediatrics
Janessa B. Law, Thomas R. Wood, Semsa Gogcu, Bryan A. Comstock, Manjiri Dighe, Krystle Perez, Mihai Puia-Dumitrescu, Dennis E. Mayock, Patrick J. Heagerty, Sandra E. Juul
Summary: The study aimed to determine the incidence, timing, progression, and risk factors of intracranial hemorrhage (ICH) in extremely preterm infants, as well as its association with death or neurodevelopmental impairment (NDI) at 2 years of corrected age. Risk factors for ICH varied by timing of bleed, and bilateral or increasing grade of ICH were associated with adverse outcomes in infants born extremely preterm.
JOURNAL OF PEDIATRICS
(2021)
Article
Multidisciplinary Sciences
Qinchuan Shi, Jingjing Zhang, Chong Fan, Aixia Zhang, Zhu Zhu, Yingying Tian
Summary: This study systematically evaluated the risk factors of hypothermia in very low/extremely low birth weight infants. Factors including body weight, failure to keep warm in time, neonatal resuscitation, gestational age, premature rupture of membranes, maternal combined complications, cesarean section, antenatal steroids, multiple birth, small for gestational age, 1 min Apgar score, and 5 min Apgar score were identified. These findings provide a theoretical basis for the prevention and intervention of hypothermia in VLBW/ELBW infants.
Review
Pediatrics
Els Janson, Marle Willemsen, Pauline Van Beek, Jeroen E. Dudink, Ruurd Van Elburg, Lisa Hortensius, Emily W. Y. J. Tam, Miguel Saenz de Pipaon, Alexandre J. Lapillonne, Caroline G. M. de Theije, Manon J. N. L. Benders, Niek van der Aa, ESPR Nutrition Council Members
Summary: White matter injury is common in preterm infants and associated with impaired neurodevelopmental outcome. Optimizing postnatal nutrition can positively influence white matter development and subsequent neurodevelopmental outcome in preterm infants. More studies are needed, using quantitative neuroimaging techniques and interventional designs controlling for confounders, to define optimal nutritional intakes in preterm infants.
PEDIATRIC RESEARCH
(2023)
Article
Pediatrics
Kimberly N. Grelli, Roberta L. Keller, Elizabeth E. Rogers, J. Colin Partridge, Duan Xu, A. James Barkovich, Dawn Gano
Summary: Cumulative supplemental oxygen and mean airway pressure are associated with bronchopulmonary dysplasia (BPD) and white matter injury (WMI) in preterm infants, and early respiratory status influences adverse neurodevelopmental outcomes.
PEDIATRIC RESEARCH
(2021)
Article
Pediatrics
Alaleh Dormishian, Alini Schott, Ana Cecilia Aguilar, Eduardo Bancalari, Nelson Claure
Summary: This study evaluated the reliability of pulse oximetry (SpO2) in extremely premature infants during episodes of intermittent hypoxemia (IH) associated with motion artifact. The results showed that SpO2 is more likely to indicate true hypoxemia than false hypoxemia in these infants. This has important implications for caregivers' trust in and response to SpO2 readings in premature infants.
PEDIATRIC RESEARCH
(2023)
Article
Pediatrics
Anne Mette Plomgaard, Nathan Stevenson, James A. Roberts, Tue Hvass Petersen, Sampsa Vanhatalo, Gorm Greisen, SafeBoosC-II study group
Summary: Automated computational measures of EEG in extremely preterm infants were found to be predictive of neurodevelopmental impairment at 2 years of age. The association between EEG measures and neurodevelopment in childhood was confirmed in this study, and the measure appears to be robust to differences in electrodes, amplifiers, and filters.
PEDIATRIC RESEARCH
(2023)
Article
Pediatrics
Li-Min Guo, Meng Zhao, Yue Cai, Na Li, Xiao-quan Xu, Xuan Zhang, Jiu-Lou Zhang, Qi-Lian Xie, Si-si Li, Xiao-Qing Chen, Shu-Dong Cui, Chao Lu
Summary: This study investigated the white matter impairments and neurodevelopmental outcomes of severe intraventricular hemorrhage (IVH) in extremely preterm infants. The results showed that motor and language abilities at age 2 years were associated with mean kurtosis (MK) values of diffusional kurtosis imaging (DKI) at term equivalent age in both posterior limbs of the internal capsule (PLIC) and the corpus callosum. The findings suggest that MK values might provide feasible indicators of neurodevelopmental outcomes in this population.
FRONTIERS IN PEDIATRICS
(2022)
Article
Microbiology
Ayano Tanzawa, Jumpei Saito, Kensuke Shoji, Yuka Kojo, Takanori Funaki, Hidehiko Maruyama, Tetsuya Isayama, Yushi Ito, Hidefumi Nakamura, Akimasa Yamatani
Summary: This study characterized the pharmacokinetics of fluconazole in extremely low-birth-weight infants who received F-FLCZ and explored the appropriate dosage in this patient population.
MICROBIOLOGY SPECTRUM
(2022)
Article
Clinical Neurology
Sarah B. Mulkey, Rathinaswamy Govindan, Marina Metzler, Christopher B. Swisher, Laura Hitchings, Yunfei Wang, Robin Baker, G. Maxwell, Anita Krishnan, Adre J. du Plessis
CLINICAL AUTONOMIC RESEARCH
(2020)
Article
Pediatrics
Yvonne W. Wu, Amy M. Goodman, Taeun Chang, Sarah B. Mulkey, Fernando F. Gonzalez, Dennis E. Mayock, Sandra E. Juul, Amit M. Mathur, Krisa Van Meurs, Robert C. McKinstry, Raymond W. Redline
PEDIATRIC RESEARCH
(2020)
Article
Obstetrics & Gynecology
Laura Sanapo, Nicole Herrera, Caitlin Cristante, Dorothy I. Bulas, Stephanie Russo, Sarah D. Schlatterer, Adre J. du Plessis, Sarah B. Mulkey
Summary: This study compared the prenatal diagnostic rate of fetal microcephaly among four widely used fetal head circumference ultrasound nomograms, and found that these nomograms resulted in different z-score values for the same subject.
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
(2021)
Article
Pediatrics
Sarah B. Mulkey, Margarita Arroyave-Wessel, Colleen Peyton, Dorothy Bulas, Yamil Fourzali, JiJi Jiang, Stephanie Russo, Robert McCarter, Michael E. Msall, Adre J. du Plessis, Roberta L. DeBiasi, Carlos Cure
Editorial Material
Public, Environmental & Occupational Health
Sarah B. Mulkey, Roberta L. DeBiasi
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
(2020)
Article
Pediatrics
Sarah B. Mulkey, Rathinaswamy B. Govindan, Laura Hitchings, Tareq Al-Shargabi, Nicole Herrera, Christopher B. Swisher, Augustine Eze, Stephanie Russo, Sarah D. Schlatterer, Marni B. Jacobs, Robert McCarter, Alex Kline, G. Larry Maxwell, Robin Baker, Adre J. du Plessis
Summary: The duration of extrauterine development in premature infants does not seem to impact the maturation of the autonomic nervous system, as the birth gestational age of the preterm infants is related to the levels of development of the autonomic nervous system.
PEDIATRIC RESEARCH
(2021)
Editorial Material
Medicine, General & Internal
Sarah B. Mulkey
Article
Clinical Neurology
Sarah D. Schlatterer, Laura Sanapo, Adre J. du Plessis, Matthew T. Whitehead, Sarah B. Mulkey
Summary: This retrospective study analyzed cases referred to the Prenatal Pediatrics Institute at Children's National Hospital from January 2012 to June 2018 due to concern for posterior fossa anomaly. Results showed that fetal MRI and neurology consultation led to a change in fetal prognosis in 70% of cases. Fetal and postnatal prognoses were similar in 60% of cases.
PEDIATRIC NEUROLOGY
(2021)
Editorial Material
Obstetrics & Gynecology
Sarah B. Mulkey, Graeme R. Polglase
JOURNAL OF PERINATOLOGY
(2021)
Article
Clinical Neurology
Sarah B. Mulkey, Laura Hitchings, Reva Persaud, Srinivas Kota, G. Larry Maxwell, Robin Baker, Adre du Plessis, Rathinaswamy Govindan
Summary: The study evaluated the regional connectivity between the cerebral cortex and brainstem autonomic centers in term newborns. High coherence was found in central, bitemporal, and occipital brain regions for delta-root mean square of successive differences, indicating a more robust connectivity to parasympathetic than sympathetic brainstem centers in low-risk newborns.
CLINICAL AUTONOMIC RESEARCH
(2021)
Article
Health Care Sciences & Services
Sarah B. Mulkey, Margarita Arroyave-Wessel, Colleen Peyton, Emily Ansusinha, Corina Gutierrez, Andrea Sorkar, Andres Cure, Yhina Samper, Daniela Cure, Michael E. Msall, Carlos Cure
Summary: The study utilized telemedicine to conduct international research on neurodevelopmental outcomes in Colombian children with Zika-virus exposure, showcasing the potential of telemedicine in global health studies.
JOURNAL OF TELEMEDICINE AND TELECARE
(2021)
Article
Clinical Neurology
Wendy H. Shwe, Sarah D. Schlatterer, Jordan Williams, Adre J. du Plessis, Sarah B. Mulkey
Summary: This study describes cases of agenesis of the corpus callosum (ACC) diagnosed by fetal magnetic resonance imaging (MRI) and determines the frequency of postnatal confirmation by MRI, as well as the postnatal outcomes of infants with ACC. The results indicate that children with isolated or complex ACC and with partial or complete ACC have a range of neurodevelopmental outcomes. Fetal and postnatal brain MRI is a valuable tool to understand differences of the corpus callosum.
PEDIATRIC NEUROLOGY
(2022)
Article
Pediatrics
Sarah B. Mulkey, Colleen Peyton, Emily Ansusinha, Elizabeth Corn, Margarita Arroyave-Wessel, Anqing Zhang, Cara Biddle, Corina Gutierrez, Andrea Sorkar, Andres Cure, Daniela Cure, Adre J. du Plessis, Roberta L. DeBiasi, Michael E. Msall, Carlos Cure
Summary: Children with in utero Zika virus exposure may demonstrate emerging differences in executive function, behavior and mood, and adaptive mobility. Continued evaluation is necessary for these children.
PEDIATRIC RESEARCH
(2023)
Article
Clinical Neurology
Tomo Tarui, Charu Venkatesan, Dawn Gano, Monica E. Lemmon, Sarah B. Mulkey, Andrea C. Pardo, Lisa Emrick, Mark Scher, Sonika Agarwal
Summary: Fetal neurology is a rapidly evolving field that requires coordination among specialists to diagnose and manage prenatal and perinatal care. The survey highlights the heterogeneity in clinical practice and emphasizes the need for large collaborative efforts to gather data, create guidelines, and provide educational material.
PEDIATRIC NEUROLOGY
(2023)
Review
Clinical Neurology
Sarah B. Mulkey
Summary: The objective of this article is to understand the role of the central autonomic nervous system in fetal-neonatal transition and its impact on brain injury. The central autonomic nervous system supports safe transition of the fetus during delivery, and disruptions in its normal maturation can complicate the transition. Both autonomic nervous system dysfunction and brain injury can contribute to each other in the fetus and newborn. Future studies should focus on improving real-time monitoring and supporting typical autonomic nervous system development in complex conditions.
SEMINARS IN PEDIATRIC NEUROLOGY
(2023)