tetano
Editor, Senior Moderator
Pediatr Neurol
. 2022 Dec 10;141:9-17.
doi: 10.1016/j.pediatrneurol.2022.12.003. Online ahead of print.
Neurological and Neuroradiological Manifestations in Neonates Born to Mothers With Coronavirus Disease 2019
Mariko Kurokawa[SUP] 1 [/SUP], Ryo Kurokawa[SUP] 2 [/SUP], Ava Yun Lin[SUP] 3 [/SUP], Aristides A Capizzano[SUP] 1 [/SUP], Akira Baba[SUP] 1 [/SUP], John Kim[SUP] 1 [/SUP], Timothy D Johnson[SUP] 4 [/SUP], Ashok Srinivasan[SUP] 1 [/SUP], Toshio Moritani[SUP] 1 [/SUP]
Affiliations
Abstract
Background: To investigate the complications that occurred in neonates born to mothers with coronavirus disease 2019 (COVID-19), focusing on neurological and neuroradiological findings, and to compare differences associated with the presence of maternal symptoms.
Methods: Ninety neonates from 88 mothers diagnosed with coronavirus disease 2019 (COVID-19) during pregnancy were retrospectively reviewed. Neonates were divided into two groups: symptomatic (Sym-M-N, n = 34) and asymptomatic mothers (Asym-M-N, n = 56). The results of neurological physical examinations were compared between the groups. Data on electroencephalography, brain ultrasound, and magnetic resonance imaging abnormalities were collected for neonates with neurological abnormalities.
Results: Neurological abnormalities at birth were found in nine neonates (Sym-M-N, seven of 34, 20.6%). Decreased tone was the most common physical abnormality (n = 7). Preterm and very preterm birth (P < 0.01), very low birth weight (P < 0.01), or at least one neurological abnormality on physical examination (P = 0.049) was more frequent in Sym-M-N neonates. All infants with abnormalities on physical examination showed neuroradiological abnormalities. The most common neuroradiological abnormalities were intracranial hemorrhage (n = 5; germinal matrix, n = 2; parenchymal, n = 2; intraventricular, n = 1) and hypoxic brain injury (n = 3).
Conclusions: Neonates born to mothers with symptomatic COVID-19 showed an increased incidence of neurological abnormalities. Most of the mothers (96.4%) were unvaccinated before the COVID-19 diagnosis. Our results highlight the importance of neurological and neuroradiological management in infants born to mothers with COVID-19 and the prevention of maternal COVID-19 infection.
Keywords: COVID-19; Neuroradiologic manifestations; Newborn; Pregnancy.
. 2022 Dec 10;141:9-17.
doi: 10.1016/j.pediatrneurol.2022.12.003. Online ahead of print.
Neurological and Neuroradiological Manifestations in Neonates Born to Mothers With Coronavirus Disease 2019
Mariko Kurokawa[SUP] 1 [/SUP], Ryo Kurokawa[SUP] 2 [/SUP], Ava Yun Lin[SUP] 3 [/SUP], Aristides A Capizzano[SUP] 1 [/SUP], Akira Baba[SUP] 1 [/SUP], John Kim[SUP] 1 [/SUP], Timothy D Johnson[SUP] 4 [/SUP], Ashok Srinivasan[SUP] 1 [/SUP], Toshio Moritani[SUP] 1 [/SUP]
Affiliations
- PMID: 36731229
- DOI: 10.1016/j.pediatrneurol.2022.12.003
Abstract
Background: To investigate the complications that occurred in neonates born to mothers with coronavirus disease 2019 (COVID-19), focusing on neurological and neuroradiological findings, and to compare differences associated with the presence of maternal symptoms.
Methods: Ninety neonates from 88 mothers diagnosed with coronavirus disease 2019 (COVID-19) during pregnancy were retrospectively reviewed. Neonates were divided into two groups: symptomatic (Sym-M-N, n = 34) and asymptomatic mothers (Asym-M-N, n = 56). The results of neurological physical examinations were compared between the groups. Data on electroencephalography, brain ultrasound, and magnetic resonance imaging abnormalities were collected for neonates with neurological abnormalities.
Results: Neurological abnormalities at birth were found in nine neonates (Sym-M-N, seven of 34, 20.6%). Decreased tone was the most common physical abnormality (n = 7). Preterm and very preterm birth (P < 0.01), very low birth weight (P < 0.01), or at least one neurological abnormality on physical examination (P = 0.049) was more frequent in Sym-M-N neonates. All infants with abnormalities on physical examination showed neuroradiological abnormalities. The most common neuroradiological abnormalities were intracranial hemorrhage (n = 5; germinal matrix, n = 2; parenchymal, n = 2; intraventricular, n = 1) and hypoxic brain injury (n = 3).
Conclusions: Neonates born to mothers with symptomatic COVID-19 showed an increased incidence of neurological abnormalities. Most of the mothers (96.4%) were unvaccinated before the COVID-19 diagnosis. Our results highlight the importance of neurological and neuroradiological management in infants born to mothers with COVID-19 and the prevention of maternal COVID-19 infection.
Keywords: COVID-19; Neuroradiologic manifestations; Newborn; Pregnancy.