Developmental outcome of isolated fetal microcephaly

Objective To assess the neurodevelopmental outcome of children with prenatally diagnosed isolated microcephaly defined as head circumference more than 2 SD below the gestational mean. Methods Children aged 2–6 years who had been diagnosed in utero as having head circumference measurements more than...

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Veröffentlicht in:Ultrasound in obstetrics & gynecology 2010-08, Vol.36 (2), p.154-158
Hauptverfasser: Stoler‐Poria, S., Lev, D., Schweiger, A., Lerman‐Sagie, T., Malinger, G.
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container_end_page 158
container_issue 2
container_start_page 154
container_title Ultrasound in obstetrics & gynecology
container_volume 36
creator Stoler‐Poria, S.
Lev, D.
Schweiger, A.
Lerman‐Sagie, T.
Malinger, G.
description Objective To assess the neurodevelopmental outcome of children with prenatally diagnosed isolated microcephaly defined as head circumference more than 2 SD below the gestational mean. Methods Children aged 2–6 years who had been diagnosed in utero as having head circumference measurements more than 2 SD below the gestational mean were compared with normocephalic children, utilizing a standard neuropsychological battery. Comparisons were also made within the study group. Results HCs were between −2 and −4.8 SD, only one fetus having a HC below −3 SD. Children with a prenatal head circumference between 2 SD and 3 SD below the gestational mean did not differ significantly from the control group regarding cognitive, language and motor functioning. However, they exhibited more behavioral‐emotional problems. There were no significant differences between children who had suffered from intrauterine growth restriction and those who had not, or between those with familial and those with non‐familial microcephaly. Nevertheless, linear regression analysis showed that head circumference in utero helps predict cognitive functioning later in life. Conclusions Prenatally diagnosed head circumference between 2 SD and 3 SD below the gestational mean is not a risk factor for later abnormal neuropsychological development. Copyright © 2010 ISUOG. Published by John Wiley & Sons, Ltd.
doi_str_mv 10.1002/uog.7556
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Methods Children aged 2–6 years who had been diagnosed in utero as having head circumference measurements more than 2 SD below the gestational mean were compared with normocephalic children, utilizing a standard neuropsychological battery. Comparisons were also made within the study group. Results HCs were between −2 and −4.8 SD, only one fetus having a HC below −3 SD. Children with a prenatal head circumference between 2 SD and 3 SD below the gestational mean did not differ significantly from the control group regarding cognitive, language and motor functioning. However, they exhibited more behavioral‐emotional problems. There were no significant differences between children who had suffered from intrauterine growth restriction and those who had not, or between those with familial and those with non‐familial microcephaly. Nevertheless, linear regression analysis showed that head circumference in utero helps predict cognitive functioning later in life. Conclusions Prenatally diagnosed head circumference between 2 SD and 3 SD below the gestational mean is not a risk factor for later abnormal neuropsychological development. Copyright © 2010 ISUOG. Published by John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0960-7692</identifier><identifier>ISSN: 1469-0705</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1002/uog.7556</identifier><identifier>PMID: 20069548</identifier><language>eng</language><publisher>Chichester, UK: John Wiley &amp; Sons, Ltd</publisher><subject>Biological and medical sciences ; brain ; Cephalometry - methods ; Child ; Child Development ; Child, Preschool ; Children ; Cognitive ability ; Female ; fetal CNS ; Fetuses ; Gynecology ; Gynecology. Andrology. Obstetrics ; Head ; head circumference ; Humans ; Intelligence - physiology ; Language ; Male ; Malformations of the nervous system ; Medical sciences ; microcephaly ; Microcephaly - complications ; Microcephaly - diagnostic imaging ; Microcephaly - psychology ; Microencephaly ; neurodevelopmental outcome ; Neurology ; neuropsychological outcome ; Neuropsychological Tests ; Obstetrics ; Pregnancy ; prenatal diagnosis ; Prognosis ; Regression analysis ; Retrospective Studies ; Risk factors ; third trimester ; Ultrasonography, Prenatal ; Ultrasound</subject><ispartof>Ultrasound in obstetrics &amp; gynecology, 2010-08, Vol.36 (2), p.154-158</ispartof><rights>Copyright © 2010 ISUOG. 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Methods Children aged 2–6 years who had been diagnosed in utero as having head circumference measurements more than 2 SD below the gestational mean were compared with normocephalic children, utilizing a standard neuropsychological battery. Comparisons were also made within the study group. Results HCs were between −2 and −4.8 SD, only one fetus having a HC below −3 SD. Children with a prenatal head circumference between 2 SD and 3 SD below the gestational mean did not differ significantly from the control group regarding cognitive, language and motor functioning. However, they exhibited more behavioral‐emotional problems. There were no significant differences between children who had suffered from intrauterine growth restriction and those who had not, or between those with familial and those with non‐familial microcephaly. Nevertheless, linear regression analysis showed that head circumference in utero helps predict cognitive functioning later in life. 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Obstetrics</subject><subject>Head</subject><subject>head circumference</subject><subject>Humans</subject><subject>Intelligence - physiology</subject><subject>Language</subject><subject>Male</subject><subject>Malformations of the nervous system</subject><subject>Medical sciences</subject><subject>microcephaly</subject><subject>Microcephaly - complications</subject><subject>Microcephaly - diagnostic imaging</subject><subject>Microcephaly - psychology</subject><subject>Microencephaly</subject><subject>neurodevelopmental outcome</subject><subject>Neurology</subject><subject>neuropsychological outcome</subject><subject>Neuropsychological Tests</subject><subject>Obstetrics</subject><subject>Pregnancy</subject><subject>prenatal diagnosis</subject><subject>Prognosis</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>third trimester</subject><subject>Ultrasonography, Prenatal</subject><subject>Ultrasound</subject><issn>0960-7692</issn><issn>1469-0705</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90E1PwzAMBuAIgdgYSPwC1AuCS0eSpvk4ogEDadIu7FylqQNF6VKaFbR_T8YGO8HJlvzIll-EzgkeE4zpTe9fxiLP-QEaEsZVigXOD9EQK45TwRUdoJMQ3jDGnGX8GA1o7FTO5BCxO_gA59sGlivtEt-vjG8g8Tapg3d6BVViYTNpatN5A-2rdutTdGS1C3C2qyO0eLh_njyms_n0aXI7Sw0jgqfApQFFsNVaKVYRXVWWlERWWpCSMStzzmhW2UoZrIgtZaY1FSAZ1SU1XGYjdLXd23b-vYewKpo6GHBOL8H3oRBMqoxhzqO8_lcSTIQSJFdyT-M_IXRgi7arG92tIyo2aRYxzWKTZqQXu6192UD1C3_ii-ByB3Qw2tlOL00d9i7DIqd5Fl26dZ-1g_WfB4vFfPp9-AufDIp2</recordid><startdate>201008</startdate><enddate>201008</enddate><creator>Stoler‐Poria, S.</creator><creator>Lev, D.</creator><creator>Schweiger, A.</creator><creator>Lerman‐Sagie, T.</creator><creator>Malinger, G.</creator><general>John Wiley &amp; Sons, Ltd</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201008</creationdate><title>Developmental outcome of isolated fetal microcephaly</title><author>Stoler‐Poria, S. ; Lev, D. ; Schweiger, A. ; Lerman‐Sagie, T. ; Malinger, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4176-e68ce910faa994d1addf1b18da71b44f856423dfd9c091fb83aa27e842ab2c683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Biological and medical sciences</topic><topic>brain</topic><topic>Cephalometry - methods</topic><topic>Child</topic><topic>Child Development</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Cognitive ability</topic><topic>Female</topic><topic>fetal CNS</topic><topic>Fetuses</topic><topic>Gynecology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Head</topic><topic>head circumference</topic><topic>Humans</topic><topic>Intelligence - physiology</topic><topic>Language</topic><topic>Male</topic><topic>Malformations of the nervous system</topic><topic>Medical sciences</topic><topic>microcephaly</topic><topic>Microcephaly - complications</topic><topic>Microcephaly - diagnostic imaging</topic><topic>Microcephaly - psychology</topic><topic>Microencephaly</topic><topic>neurodevelopmental outcome</topic><topic>Neurology</topic><topic>neuropsychological outcome</topic><topic>Neuropsychological Tests</topic><topic>Obstetrics</topic><topic>Pregnancy</topic><topic>prenatal diagnosis</topic><topic>Prognosis</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>third trimester</topic><topic>Ultrasonography, Prenatal</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stoler‐Poria, S.</creatorcontrib><creatorcontrib>Lev, D.</creatorcontrib><creatorcontrib>Schweiger, A.</creatorcontrib><creatorcontrib>Lerman‐Sagie, T.</creatorcontrib><creatorcontrib>Malinger, G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in obstetrics &amp; gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stoler‐Poria, S.</au><au>Lev, D.</au><au>Schweiger, A.</au><au>Lerman‐Sagie, T.</au><au>Malinger, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Developmental outcome of isolated fetal microcephaly</atitle><jtitle>Ultrasound in obstetrics &amp; gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2010-08</date><risdate>2010</risdate><volume>36</volume><issue>2</issue><spage>154</spage><epage>158</epage><pages>154-158</pages><issn>0960-7692</issn><issn>1469-0705</issn><eissn>1469-0705</eissn><abstract>Objective To assess the neurodevelopmental outcome of children with prenatally diagnosed isolated microcephaly defined as head circumference more than 2 SD below the gestational mean. Methods Children aged 2–6 years who had been diagnosed in utero as having head circumference measurements more than 2 SD below the gestational mean were compared with normocephalic children, utilizing a standard neuropsychological battery. Comparisons were also made within the study group. Results HCs were between −2 and −4.8 SD, only one fetus having a HC below −3 SD. Children with a prenatal head circumference between 2 SD and 3 SD below the gestational mean did not differ significantly from the control group regarding cognitive, language and motor functioning. However, they exhibited more behavioral‐emotional problems. There were no significant differences between children who had suffered from intrauterine growth restriction and those who had not, or between those with familial and those with non‐familial microcephaly. Nevertheless, linear regression analysis showed that head circumference in utero helps predict cognitive functioning later in life. 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subjects Biological and medical sciences
brain
Cephalometry - methods
Child
Child Development
Child, Preschool
Children
Cognitive ability
Female
fetal CNS
Fetuses
Gynecology
Gynecology. Andrology. Obstetrics
Head
head circumference
Humans
Intelligence - physiology
Language
Male
Malformations of the nervous system
Medical sciences
microcephaly
Microcephaly - complications
Microcephaly - diagnostic imaging
Microcephaly - psychology
Microencephaly
neurodevelopmental outcome
Neurology
neuropsychological outcome
Neuropsychological Tests
Obstetrics
Pregnancy
prenatal diagnosis
Prognosis
Regression analysis
Retrospective Studies
Risk factors
third trimester
Ultrasonography, Prenatal
Ultrasound
title Developmental outcome of isolated fetal microcephaly
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