Visual functions in relation with neonatal cerebral ultrasound, neurology and cognitive development in very-low-birthweight children

Autor: M Smrkovsky, W.P.F. Fetter, Pieter J J Sauer, N. Weisglas-Kuperus, W. Baerts, Dorothea Heersema, J. Van Hof-Van Duin
Rok vydání: 1993
Předmět:
Male
medicine.medical_specialty
Neurology
Visual acuity
NEONATAL CEREBRAL ULTRASOUND
genetic structures
VISUAL
NEUROLOGICAL AND COGNITIVE DEVELOPMENT
Vision Disorders
Visual Acuity
INFANTS
Neurological examination
Neurological disorder
VISUAL
Audiology
Developmental psychology
AGE
Cognition
medicine
Cognitive development
Humans
LOW-BIRTH-WEIGHT
Retinopathy of Prematurity
Strabismus
Child
Vision
Ocular
Psychomotor learning
VERY-LOW BIRTH-WEIGHT
Brain Diseases
medicine.diagnostic_test
PRETERM
business.industry
1ST YEAR
Infant
Newborn
Brain
Infant
General Medicine
Infant
Low Birth Weight
medicine.disease
Echoencephalography
eye diseases
NEUROLOGICAL AND COGNITIVE DEVELOPMENT
Child
Preschool
Pediatrics
Perinatology and Child Health
Female
Neurology (clinical)
medicine.symptom
business
Cognition Disorders
Zdroj: Neuropediatrics, 24(3), 149-154. GEORG THIEME VERLAG KG
ISSN: 0174-304X
Popis: In order to determine the relationship between visual functions and neonatal cerebral ultrasound, neurological examinations and cognitive development, a prospective longitudinal study was conducted in 69 high-risk very-low-birthweight children. Visual development was studied at 1 and 2.6 years of corrected age by assessment of visual acuity, binocular visual fields, optokinetic nystagmus and strabismus. Visual impairments were found in 33% at age 1 and in 28% at age 2.6. Visual impairments were related to intraparenchymal damage, as detected by neonatal cerebral ultrasound, as well as to abnormal neurological examinations and lower mean developmental indices. A stepwise multiple regression analysis with neonatal cerebral ultrasound as the dependent variable and visual functions at ages 1 and 2.6 and neurological examinations at ages 1 and 2 as independent variables, however, demonstrated that standardized neurological examinations were better markers of neonatal cerebral damage than visual functions. In cognitive development at ages 1 and 2, the neurological examination at age 1 was the most important variable. In cognitive development at age 3.6, visual functions at age 2.6 were more important. Early visual impairments might thus influence later cognitive development. The effectiveness of appropriate early intervention strategies to stimulate visual and cognitive development in infants with less severe visual impairments should be subject to further study.
Databáze: OpenAIRE
Externí odkaz: