Korean J Neurotrauma.  2018 Oct;14(2):80-85. 10.13004/kjnt.2018.14.2.80.

Neurodevelopmental Prognostic Factors in 73 Neonates with the Birth Head Injury

• Kim KM
• Cho SM
• Yoon SH
• Lim YC
• Park MS
• Kim MR

• KMID: 2424317
• DOI: http://doi.org/10.13004/kjnt.2018.14.2.80

Abstract

OBJECTIVE
The objective of this study was to reinterpret the neurodevelopmental prognostic factors that are associated with birth head injury by performing a long-term follow-up.
METHODS
Seventy-three neonates with head injuries were retrospectively analyzed after a duration of 10.0±7.3 years to determine the correlations between perinatal factors, including gender, head circumference, gestational age, body weight, and mode of delivery, and head injury factors from radiologic imaging with social, fine motor, language, and motor developmental quotients.
RESULTS
There was a statistically significant difference between perinatal factors and head injury factors with respect to head circumference, body weight, gestational age, mode of delivery, Apgar scores at 1 min, cephalohematoma, subdural hemorrhage, subarachnoid hemorrhage, and hypoxic injury, but no direct correlation by regression analysis was observed between perinatal factors and developmental quotients. Of the head injury factors, falx hemorrhage showed a significant indirect relationship with the language and motor developmental quotients. Mode of delivery, subgaleal hematoma, cephalohematoma, greenstick skull fracture, epidural hemorrhage (EDH), tentorial hemorrhage, brain swelling, and hypoxic injury showed an indirect relationship with social development.
CONCLUSION
In terms of perinatal factors and head injury factors, mode of delivery, subgaleal hematoma, cephalohematoma, greenstick skull fracture, EDH, tentorial hemorrhage, falx hemorrhage, brain swelling, and hypoxic injury displayed an indirect relationship with long-term development, and therefore these factors require particular attention for perinatal care.

Keyword

Birth injury; Falx hemorrhage; Greenstick skull fracture; Neonate; Neurodevelopment; Prognostic factor

MeSH Terms

Birth Injuries
Body Weight
Craniocerebral Trauma*
Follow-Up Studies
Gestational Age
Head*
Hematoma
Hematoma, Subdural
Hemorrhage
Humans
Infant, Newborn*
Intracranial Hemorrhages
Parturition*
Perinatal Care
Retrospective Studies
Skull Fractures
Social Change
Subarachnoid Hemorrhage

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