Doménech E, Castro R, Casabona C, Méndez A, Ormazábal C, Rodríguez Luis J C
Departamento de Pediatría, Facultad de Medicina de La Laguna, Hospital Universitario de Canarias.
An Esp Pediatr. 1989 Sep;31(3):221-8.
We have studied 51 preterm infants [gestational age (GE) less than 32 weeks] by: a neurologic examination at 40 weeks of postconceptional age, serial cranial ultrasonographies, weekly electroencephalograms (EEG) until 42 weeks of postconceptional age, and Brunet-Lezine test of psychomotor developmental at 1 year old. Our objective is the longitudinal study of EEG maturation in preterm infants with or without neurologic injury. In preterm infants with the less gestational age are present the EEG characteristics reported for the older infants, the typical EEG pattern is the "sawtooth" (27-30 weeks GE). If these infants are "normal", the EEG maturation get adjusted to the previous reported pattern, except for the earlier presentation of transitory acute frontal waves and the disappearance of the preterm's discontinuous trace. The EEG maturation of preterm infants with perinatal neurologic injury are significantly delayed in contrast with "normal" preterm infants until 40 weeks of postconceptional age; this fact have a poor prognosis for these infants.
我们对51名早产儿[胎龄(GA)小于32周]进行了研究,方法如下:在孕龄40周时进行神经系统检查、连续头颅超声检查、每周进行脑电图(EEG)检查直至孕龄42周,以及在1岁时进行布鲁内-勒津精神运动发育测试。我们的目的是对有或无神经损伤的早产儿脑电图成熟情况进行纵向研究。胎龄较小的早产儿存在 older infants所报道的脑电图特征,典型的脑电图模式是“锯齿波”(胎龄27 - 30周)。如果这些婴儿“正常”,脑电图成熟情况会按照先前报道的模式进行调整,但会更早出现短暂的急性额叶波,且早产儿的不连续波形会消失。与“正常”早产儿相比,有围产期神经损伤的早产儿脑电图成熟在孕龄40周前显著延迟;这一情况对这些婴儿的预后不利。