Article Text

PRECHTL’S METHOD ON QUALITATIVE ASSESSMENT OF GENERAL MOVEMENTS IN PRETERMS WITH GESTATIONAL AGE LOWER THAN 34 WEEKS POSTMENSTRUAL AGE
  1. S Malguzzi1,
  2. G Paterlini1,
  3. C Borroni1,
  4. G Kullmann1,
  5. P Tagliabue1
  1. 1NICU, San Gerardo Hospital, Monza, Italy

Abstract

Our study intends to evaluate at different times general movements of a group of preterms with gestational age <34 weeks postmenstrual age and to correlate neurological data obtained observing motor patterns to ultrasound findings and the most important obstetrical-neonatological variables.

44 newborns have been subjected from 01/01/2006 to 31/07/2006 to brain ultrasound and general movement assessment. Video recordings were made at birth, at 35 weeks, at term and from 9° to 15° week postmenstrual age.

Data obtained from our study do not show any significant correlation between general movements and obstetrical variables associated to neurological damage.

By contrast we could observe, with a significant frequency, something not yet described in the literature: motor repertoires of unfavorable neurological outcomes correlated to both the seriousness of the acute clinical picture (RDS, NEC, sepsis) and to outcome (ROP and O2 dependence).

Motor patterns themselves have a good correlation with difficulties in adaptation to the birth (need of resuscitation) and emodynamic instability at birth (use of inotropies).

At eighteen months of follow up, we had a case of cerebral palsy in a fidgety absent-minded child.

The correlation among neonatological variables and pathological general movements contribute to which clinical picture to study and prevent the mechanisms of brain damage.

The early identification of pathological motor patterns helps to address at the right moment children at risk for neurological follow up.

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