Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 17 , ISSUE 4 ( October-December, 2023 ) > List of Articles

REVIEW ARTICLE

From Fetal to Neonatal Neurobehavior

Milan Stanojevic, Sanja Malinac, Asim Kurjak, Edin Medjedović

Keywords : Brain, Cerebral palsy, Four-dimensional ultrasound, Fetus, Neonate, Neurological impairment

Citation Information : Stanojevic M, Malinac S, Kurjak A, Medjedović E. From Fetal to Neonatal Neurobehavior. Donald School J Ultrasound Obstet Gynecol 2023; 17 (4):323-331.

DOI: 10.5005/jp-journals-10009-1992

License: CC BY-NC 4.0

Published Online: 28-12-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

There is also a continuity of fetal and neonatal movements, which are important indicators of developmental processes of the brain. The aim of the paper is to present neurological prenatal and postnatal assessment of behavior, which is affected by the continuity of general and other movements from prenatal to postnatal life. A prenatal neurological test has been developed using four-dimensional ultrasound (4D US) to assess isolated head anteflexion, eye blinking, facial and mouth movements, leg, hand and finger movements, cranial sutures, and general movement (GM) gestalt perception, all included in the Kurjak antenatal neurodevelopmental test (KANET). Neurological assessment should be continued postnatally as clinical investigation and assessment of Prechtl's GMs. Continuity of assessments relates to the continuity of fetal to neonatal movements, understanding which gives clinicians the opportunity for earlier detection of neurological disability. The diagnosis of cerebral palsy (CP) as the most severe neurological disability is retrospective, and it is exceptionally made before the age of 6 months in only the most severely affected infants; the specificity of the diagnosis will improve as the child ages and the nature of the disability evolves. Interest in the diagnosis of neurological impairment among experts using 4D US has recently shifted toward the prenatal period. Are we approaching the era of the development of diagnostic tests to detect nonreassuring fetal neurological status in its intrauterine life to intervene at appropriate times in order to decrease the CP rate? It is questionable if the KANET test could be the tool to achieve this desire.


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