Gávai Márta, Hargitai Beáta, Váradi Valéria, Belics Zoran, Csapó Zsolt, Hajdú Júlia, Hauzman Erik, Berkes Enikõ, Papp Zoltán
1st Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.
Fetal Diagn Ther. 2008;23(1):18-22. doi: 10.1159/000109221. Epub 2007 Oct 9.
Periventricular leukomalacia of pre- or postnatal onset is responsible for severe neurological and intellectual impairment and cerebral palsy later in life. The etiology is multifactorial, involving hypoxic-ischemic insults of various origin. The disorder is characterized by multiple necrotic foci of the white matter found most frequently adjacent to the lateral ventricles. In the past, intrapartum factors were thought to be the major cause of neonatal brain damage, but recent investigations highlighted the role of antenatal risk factors. We present 4 cases of antenatally diagnosed brain injury with known and unusual etiology.
产前或产后发生的脑室周围白质软化是导致严重神经和智力障碍以及日后脑瘫的原因。其病因是多因素的,涉及各种来源的缺氧缺血性损伤。该疾病的特征是在白质中发现多个坏死灶,最常见于侧脑室附近。过去,产时因素被认为是新生儿脑损伤的主要原因,但最近的研究强调了产前危险因素的作用。我们报告4例产前诊断的脑损伤病例,其病因已知且不寻常。