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小脑发育与早产负担

Cerebellar Development and the Burden of Prematurity.

作者信息

Muehlbacher Tobias, Dudink Jeroen, Steggerda Sylke J

机构信息

Department of Neonatology, Newborn Research Zurich, University Hospital Zurich, Zurich, Switzerland.

Department of Neonatology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, the Netherlands.

出版信息

Cerebellum. 2025 Jan 30;24(2):39. doi: 10.1007/s12311-025-01790-6.

Abstract

The role of the cerebellum in the neurodevelopmental outcomes of preterm infants has often been neglected. However, accumulating evidence indicates that normal cerebellar development is disrupted by prematurity-associated complications causing cerebellar injury and by prematurity itself. This hampers not only the normal development of motor skills and gait, but also cognitive, language, and behavioral development, collectively referred to as "developmental cognitive affective syndrome." In this comprehensive narrative review, we provide the results of an extensive literature search in PubMed and Embase to summarize recent evidence on altered cerebellar development in premature infants, focusing on neuroimaging findings, its causative factors and its impact on long-term neurodevelopmental outcomes.

摘要

小脑在早产儿神经发育结局中的作用常常被忽视。然而,越来越多的证据表明,早产相关并发症导致小脑损伤以及早产本身都会破坏小脑的正常发育。这不仅会阻碍运动技能和步态的正常发育,还会影响认知、语言和行为发育,这些统称为“发育性认知情感综合征”。在这篇全面的叙述性综述中,我们提供了在PubMed和Embase上广泛文献检索的结果,以总结关于早产儿小脑发育改变的最新证据,重点关注神经影像学发现、其致病因素及其对长期神经发育结局的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73fb/11782465/a2212b7225f1/12311_2025_1790_Fig1_HTML.jpg

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