Neoreviews Subscribe to Pediatrics in Review
HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Take the CME quiz:
 Vol. 8 No. 10, October 2007
Right arrow E-Letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-Letters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Scher, M. S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Scher, M. S.

NeoReviews Vol.8 No.10 2007 e435
© 2007 American Academy of Pediatrics

Neonatal Neurologic Consultations

Integration With Maternal-fetal Medicine and Long-term Outcome

Mark S. Scher, MD*

* Professor of Pediatrics and Neurology, Case Western Reserve University; Division Chief, Pediatric Neurology, Director of the Pediatric Neurointensive Care Program and the Fetal/Neonatal Neurology Program, Rainbow Babies and Children's Hospital, Cleveland, Ohio

The pediatric neurologist can serve as a subspecialty consultant for both the fetus and neonate in whom a brain disorder is suspected. Although acute neonatal brain disorders must be assessed and treated vigorously, neurologic disease may occur before the intrapartum period, either from a primary brain disease or secondarily from systemic diseases. Medical conditions during the antepartum and intrapartum periods can predispose the fetus or neonate to express acute brain dysfunction as a neonate, representing both acute and chronic conditions. The pediatric neurologist must, therefore, consider maternal, placental, and fetal diseases on which a neonatal encephalopathy may be superimposed. This review describes four consultations by a neonatal neurointensive care service in which an integrative approach to fetal neurology is applied to neonatal consultations, emphasizing perspectives from other subspecialties concerning maternal-fetal medicine, developmental pathology, neonatology, and other pediatric subspecialties. Future strategies for fetal or neonatal brain resuscitation will need to consider the developmental context in which a suspected brain injury occurred during antepartum, intrapartum, and neonatal periods. Accurate etiologic diagnoses and timing of an insult will influence the forms of therapy of neuroprotection or neurorescue.






HOME HELP CONTACT US SUBSCRIPTIONS CME ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American Academy of Pediatrics.