[Neurological prognosis of term infants with perinatal asphyxia].
Neonatal encephalopathies following birth asphyxia are the first features of cerebral insult. They never miss when asphyxia is directly involved in cerebral impairment. Mild encephalopathies have constantly a good prognosis. Conversely, moderate and severe encephalopathies are associated with poor outcome (death or severe handicap) in 25% to 100% of cases. Prognosis of these moderate and severe encephalopathies can be assessed during the first ten days of life by 3 complementary ways: clinical exam, electrophysiology and imaging. The most information is obtained from the EEG and MRI which together nearly reach 100% for both predictive positive and negative values for severe neurological sequelae.
Zupan-Simunek
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Service de Pédiatrie et Réanimation Néonatales, Hôpital Antoine-Béclère, AP-HP, 157, rue de la Porte-de-Trivaux, 92141 Clamart Cedex. veronique.zupan@abc.ap-hop-paris.fr
Razafimahefa
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H
Caeymaex
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D001238:Asphyxia Neonatorum / Q000150:complications*; D001921:Brain / Q000503:physiopathology; D001927:Brain Diseases / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D004569:Electroencephalography; D005071:Evoked Potentials; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D011379:Prognosis