Neonatal Encephalopathy: Need for Recognition of Multiple Etiologies for Optimal Management

Autor: Saima Aslam, Tammy Strickland, Eleanor J. Molloy
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Frontiers in Pediatrics, Vol 7 (2019)
Druh dokumentu: article
ISSN: 2296-2360
DOI: 10.3389/fped.2019.00142
Popis: Neonatal encephalopathy (NE) is associated with high mortality and morbidity. Factors predisposing to NE can be antenatal, perinatal, or a combination of both. Antenatal maternal factors, familial factors, genetic predisposition, hypoxic ischemic encephalopathy, infections, placental abnormalities, thrombophilia, coagulation defects, and metabolic disorders all have been implicated in the pathogenesis of NE. At present, therapeutic hypothermia is the only treatment available, regardless of etiology. Recognizing the etiology of NE involved can also guide investigations such as metabolic and sepsis workups to ensure optimal management. Understanding the etiology of NE may allow the development of targeted adjunctive therapies related to the underlying mechanism and develop preventative strategies.
Databáze: Directory of Open Access Journals