Infectious Disease Reports,
Journal Year:
2025,
Volume and Issue:
17(2), P. 34 - 34
Published: April 16, 2025
Background:
Congenital
syphilis
(CS)
is
a
transplacental
infection
that
can
lead
to
many
long-term
sequelae
when
not
adequately
treated;
however,
knowledge
about
the
motor
and
neurological
signs
newborns
(NBs)
with
CS
may
present
scarce.
Objective:
The
aim
of
this
study
was
describe
results
assessment
scales
general
movements
in
NBs
first
days
life.
Methods:
In
case-series,
Hammersmith
Neonatal
Neurological
Examination
(HNNE)
General
Movements
Assessment
(GMA)
were
used
evaluate
under
treatment
for
public
Brazilian
hospital
Results:
sample
consisted
11
NBs,
mean
birth
weight
3140.5
g,
an
Apgar
score
at
5
min
8.3.
Among
mothers,
4
(36.4%)
had
fewer
than
six
prenatal
visits
(45.5%)
did
receive
any
treatment.
All
NB
(100%)
asymptomatic,
normal
long
bone
X-rays
cerebrospinal
fluid
analysis.
on
HNNE
22
(suboptimal/abnormal).
Eight
(72.7%)
showed
abnormalities
GMA
scale
(with
[54.5%]
being
mildly
abnormal
two
[18%]
definitely
abnormal).
Only
three
(27.3%)
returned
outpatient
follow-up.
Conclusions:
evaluations
most
asymptomatic
life,
assessed
through
specific
(HNNE
GMA).
Most
mothers
adequate
during
pregnancy,
there
important
deficiencies
post-discharge
Further
studies
are
needed
confirm
these
findings
investigate
whether
observed
linked
biological
or
environmental
factors
pregnancy.
Brain Research Bulletin,
Journal Year:
2025,
Volume and Issue:
unknown, P. 111311 - 111311
Published: March 1, 2025
Atypical
motor
development
is
an
early
indicator
for
several
neurodevelopmental
conditions,
including
cerebral
palsy
and
Rett
Syndrome,
prompting
diagnosis
intervention.
While
not
currently
part
of
the
diagnostic
criteria
other
conditions
like
Autism
Spectrum
Disorder,
frequent
retrospective
impairments
alongside
these
highlights
necessity
a
deeper
understanding
relationship
between
cognitive
development.
Traditional
clinical
assessments,
while
considered
gold
standard,
rely
on
movement
characteristics
discernible
to
trained
eye
professionals.
The
emergence
automated
technologies,
computer-vision
wearable
sensors,
promises
more
objective
scalable
detections.
However,
methods
are
without
challenges,
concerns
over
data
quality,
generalizability,
interpretability,
ethics.
By
reviewing
recent
advances,
we
highlight
potential
challenges
integrating
detections
into
research
practice.
agree
that
technologies
can
revolutionize
pediatric
care,
believe
their
use
must
be
tempered
with
caution
supported
by
expertise
ensure
effective
outcomes.
BMJ Global Health,
Journal Year:
2025,
Volume and Issue:
10(4), P. e017683 - e017683
Published: April 1, 2025
Introduction
With
global
improvements
in
neonatal
survival,
more
small
and
sick
newborns
low-income
middle-income
countries
(LMICs)
are
at
increased
risk
of
neurodevelopmental
disability
delay.
While
there
is
recognition
the
importance
early
identification
differences
timely
initiation
therapy,
little
known
about
standardised
screening
tools
these
settings.
Methods
We
performed
a
systematic
review
to
determine
what
assessments
had
been
used
LMICs
for
neonates
before
44
weeks
corrected
gestational
age
published
literature.
excluded
short-term
clinical
designed
specific
pathologies.
search
across
seven
databases,
screened
studies
eligibility
inclusion
extracted
bibliographic
data,
country,
patient
characteristics,
study
aims.
Results
were
summarised
tabular
graphical
presentation.
There
2477
records
screened,
yielding
67
inclusion.
Studies
Asian
made
up
65.7%,
while
Latin
America
Africa
19.4%
16.4%,
respectively.
Physicians
paramedical
staff
only
16.4%
studies,
92.5%
inpatient
recruitment.
The
Neonatal
Behavioural
Neurological
Assessment
(25.4%)
was
most
frequently
tool
followed
by
General
Movements
(22.4%),
Hammersmith
Examination/Dubowitz
(16.4%)
Scale
(10.4%).
Conclusions
did
not
identify
any
one
assessment
that
rapid,
globally
validated,
identifies
targets
intervention,
has
high
predictive
prognostic
value
does
require
or
kinesiologic
expertise
uncommon
equipment.
Such
an
assessment,
concert
with
evidence-based
therapeutic
delivery
platforms,
established
referral
pathways
trained
personnel
would
improve
functional
outcomes
high-risk
LMICs.
Frontiers in Neuroscience,
Journal Year:
2024,
Volume and Issue:
17
Published: Jan. 8, 2024
Brain
development
is
a
complex
process
that
begins
during
pregnancy,
and
the
events
occurring
this
sensitive
period
can
affect
offspring's
neurodevelopmental
outcomes.
Respiratory
viral
infections
are
frequently
reported
in
pregnant
women,
and,
last
few
decades,
they
have
been
related
to
numerous
neuropsychiatric
sequelae.
viruses
disrupt
brain
by
directly
invading
fetal
circulation
through
vertical
transmission
or
inducing
neuroinflammation
maternal
immune
activation
production
of
inflammatory
cytokines.
Influenza
virus
gestational
infection
has
consistently
associated
with
psychotic
disorders,
such
as
schizophrenia
autism
spectrum
disorder,
while
recent
pandemic
raised
some
concerns
regarding
effects
severe
acute
respiratory
syndrome
coronavirus
2
on
outcomes
children
born
affected
mothers.
In
addition,
emerging
evidence
supports
possible
role
syncytial
risk
factor
for
adverse
consequences.
Understanding
mechanisms
underlying
developmental
dysfunction
allows
improving
preventive
strategies,
early
diagnosis,
prompt
interventions.
Infectious Disease Reports,
Journal Year:
2025,
Volume and Issue:
17(2), P. 34 - 34
Published: April 16, 2025
Background:
Congenital
syphilis
(CS)
is
a
transplacental
infection
that
can
lead
to
many
long-term
sequelae
when
not
adequately
treated;
however,
knowledge
about
the
motor
and
neurological
signs
newborns
(NBs)
with
CS
may
present
scarce.
Objective:
The
aim
of
this
study
was
describe
results
assessment
scales
general
movements
in
NBs
first
days
life.
Methods:
In
case-series,
Hammersmith
Neonatal
Neurological
Examination
(HNNE)
General
Movements
Assessment
(GMA)
were
used
evaluate
under
treatment
for
public
Brazilian
hospital
Results:
sample
consisted
11
NBs,
mean
birth
weight
3140.5
g,
an
Apgar
score
at
5
min
8.3.
Among
mothers,
4
(36.4%)
had
fewer
than
six
prenatal
visits
(45.5%)
did
receive
any
treatment.
All
NB
(100%)
asymptomatic,
normal
long
bone
X-rays
cerebrospinal
fluid
analysis.
on
HNNE
22
(suboptimal/abnormal).
Eight
(72.7%)
showed
abnormalities
GMA
scale
(with
[54.5%]
being
mildly
abnormal
two
[18%]
definitely
abnormal).
Only
three
(27.3%)
returned
outpatient
follow-up.
Conclusions:
evaluations
most
asymptomatic
life,
assessed
through
specific
(HNNE
GMA).
Most
mothers
adequate
during
pregnancy,
there
important
deficiencies
post-discharge
Further
studies
are
needed
confirm
these
findings
investigate
whether
observed
linked
biological
or
environmental
factors
pregnancy.