Lee Young Ah
Division of Pediatric Neurology, Department of Pediatrics, Beaumont Hospital, Oakland University School of Medicine, Royal Oak, MI, USA.
J Pathol Transl Med. 2017 Sep;51(5):449-455. doi: 10.4132/jptm.2017.07.25. Epub 2017 Aug 11.
A developing central nervous system is vulnerable to various insults such as infection and ischemia. While increased understanding of the dynamic nature of brain development allows a deeper insight into the pathophysiology of perinatal brain injury, the precise nature of specific fetal and neonatal brain injuries and their short- and long-term clinical consequences need special attention and further elucidation. The current review will describe the pathophysiological aspects and clinical significance of white matter injury of prematurity, a main form of perinatal brain injury in premature newborns, with a particular emphasis on its potential antenatal components.
发育中的中枢神经系统易受各种损伤,如感染和缺血。虽然对大脑发育动态本质的深入了解有助于更深入地洞察围产期脑损伤的病理生理学,但特定胎儿和新生儿脑损伤的确切性质及其短期和长期临床后果需要特别关注并进一步阐明。本综述将描述早产儿脑白质损伤的病理生理学方面及其临床意义,这是早产新生儿围产期脑损伤的主要形式,尤其强调其潜在的产前因素。