Gipson Debbie S, Duquette Peter J, Icard Phil F, Hooper Stephen R
UNC Kidney Center, University of North Carolina School of Medicine, 7012 Burnett Womack Bldg., CB# 7155, Chapel Hill, NC 27599-7155, USA.
Pediatr Nephrol. 2007 Oct;22(10):1703-10. doi: 10.1007/s00467-006-0269-1. Epub 2006 Oct 27.
Neurodevelopmental deficits in pediatric and adult survivors of childhood onset chronic kidney disease (CKD) have been documented for many years. This paper reviews the available literature on central nervous system involvement incurred in childhood CKD. The studies reviewed include recent work in neuroimaging, electrophysiology, and neuropsychology, along with commentary on school functioning and long-term outcomes. The paper concludes with suggestions for monitoring the neurodevelopmental status and pursuing appropriate early interventions for children with CKD.
儿童期慢性肾脏病(CKD)的儿科及成年幸存者存在神经发育缺陷已有多年记载。本文回顾了关于儿童期CKD所导致的中枢神经系统受累情况的现有文献。所回顾的研究包括神经影像学、电生理学和神经心理学方面的近期工作,以及对学校功能和长期结局的评论。本文最后提出了监测CKD患儿神经发育状况及采取适当早期干预措施的建议。