Aggiornamento
Il destino dei nati pretermine
The fate of preterm newborns
Fabio Mosca, Monica Fumagalli, Ida Sirgiovanni
UO di Neonatologia e Terapia Intensiva Neonatale, Dipartimento per la Salute della Donna, del Bambino e del Neonato, IRCCS Ca’ Granda - Ospedale Maggiore Policlinico, Università di Milano
Aprile 2012 - pagg. 221 -226
Abstract
The recent progresses made in perinatal medicine have determined an increase in the survival
of newborns with lower and lower weight and earlier and earlier gestational age.
Although neonatal mortality has decreased in the last few years, the incidence of long-term
neurological outcomes, especially in newborns with birth weight less than 750 grams, is
still high. These newborns may be at risk for major neurological disorders (i.e. cerebral palsy),
but also for minor neurological disorders, such as behavioural disorders, learning disabilities
and speech and language impairments. The routine use of cerebral ultrasound has
enabled the neonatologist to early identify major cerebral lesions associated with premature
birth (periventricular leukomalacia, intraventricular haemorrhage) with probable longterm
neurological outcomes. The recent introduction of sophisticated neuroradiological techniques
(conventional and unconventional magnetic resonance imaging) has allowed a
detailed study of the maturation of encephalon in newborns and a more accurate definition
of the long-term prognosis.
Parole chiave
Cerebral palsy
Disabilità grave
Disabilità severa
disturbi neurologici
Esiti neurologici a lungo termine
Late preterm infant
Long-term neurological outcomes
mortalità neonatale
Neonatal mortality
Neonato prematuro
neonato pretermine
Neonato pretermine tardivo
Neurological disorders
Paralisi cerebrale
Preterm newborn
Severe disability
Suggerite dall'AI
Classificazione MeSH
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Corrispondenza: fabio.mosca@mangiagalli.it