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早产儿小脑发育不全:原因与后果

Cerebellar hypoplasia of prematurity: Causes and consequences.

作者信息

Gano Dawn, Barkovich A James

机构信息

Department of Neurology, University of California, San Francisco, CA, United States.

Department of Radiology, University of California, San Francisco, CA, United States.

出版信息

Handb Clin Neurol. 2019;162:201-216. doi: 10.1016/B978-0-444-64029-1.00009-6.

Abstract

As magnetic resonance imaging has been increasingly used to study brain injury and brain development in premature newborns, the prevalence of cerebellar abnormalities is increasingly recognized. The preterm cerebellum is highly vulnerable to a number of insults during its critical phase of growth and development throughout the period of prematurity and beyond. Direct cerebellar injury and additional factors such as supratentorial brain injury and glucocorticoid exposure adversely impact cerebellar growth and, consequently, increase the risk of neurodevelopmental disabilities. In this chapter the causes and consequences of cerebellar hypoplasia of prematurity are reviewed.

摘要

随着磁共振成像越来越多地用于研究早产新生儿的脑损伤和脑发育,小脑异常的患病率越来越受到认可。早产小脑在整个早产期及以后的生长发育关键阶段极易受到多种损伤。小脑直接损伤以及幕上脑损伤和糖皮质激素暴露等其他因素会对小脑生长产生不利影响,从而增加神经发育障碍的风险。在本章中,将对早产小脑发育不全的原因和后果进行综述。

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