Main Disorders of Cerebral Organization in Preterm Neonates
Keywords:
CEREBRO; ENFERMEDADES DEL SISTEMA NERVIOSO; RECIÉN NACIDO PREMATURO; TRASTORNOS DEL NEURODESARROLLO., CEREBRUM; NERVOUS SYSTEM DISEASES; INFANT, PREMATURE; NEURODEVELOPMENTAL DISORDERS., CÉREBRO; DOENÇAS DO SISTEMA NERVOSO; RECÉM-NASCIDO PREMATURO; TRANSTORNOS DO NEURODESENVOLVIMENTO.Abstract
Introduction: central nervous system development in preterm neonates is a complex process, ranging from neuroectodermal induction to myelination. Both genetic and environmental factors influence this development, and any disruption may lead to disorders of cerebral organization.
Objective: to provide an updated overview of the main disorders of cerebral organization in preterm neonates.
Methods: a documentary review was conducted, selecting 30 relevant studies from databases including Medline, Virtual Health Library, SciELO, digital books, and Google Scholar. The selected publications, spanning from 1999 to 2024, specifically addressed cerebral organization disorders in preterm neonates.
Results: cerebral organization disorders include conditions such as encephalopathy of prematurity, idiopathic intellectual disability, autism spectrum disorders, focal cortical dysplasia, lissencephaly, and polymicrogyria, among others. Preterm neonates are at higher risk of developing these disorders due to central nervous system immaturity at birth. Various neuroprotective strategies have been developed.
Conclusions: preterm neonates are at significant risk of diverse neurological disorders due to cerebral immaturity at birth. Comprehensive, multidisciplinary care is essential to improve management and long-term outcomes. Early and appropriate intervention is crucial to minimize neurodevelopmental sequelae, and neuroprotective strategies are vital to enhancing these patients’ quality of life.
Downloads
References
1. Gressens P, Hüppi PS. Normal and abnormal brain development. In: Martin RJ, Fanaroff AA, Walsh MC, editors. Fanaroff and Martin’s Neonatal-Perinatal Medicine. Disease of the fetus and infant [Internet]. 12th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p 980-1010. Disponible en: https://shop.elsevier.com/books/fanaroff-and-martins-neonatal-perinatal-medicine-2-volume-set/martin/978-0-323-93266-0
2. Du Plessis AJ, Volpe JJ. Neural Tube Development. In: Volpe JJ, editor. Volpe's Neurology of the Newborn [Internet]. 7th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 3-37. Disponible en: https://shop.elsevier.com/books/volpes-neurology-of-the-newborn/volpe/978-0-443-10513-5
3. Legüe M. Relevancia de los mecanismos epigenéticos en el neurodesarrollo normal y consecuencias de sus perturbaciones. Rev Med Clin Condes [Internet]. 2022 [citado 04/01/2025]; 33(4):347-57. Disponible en: https://www.sciencedirect.com/science/article/pii/S0716864022000736
4. Haynes RL, Kinney HC, Volpe JJ. Organizational Events. In: Volpe JJ, editor. Volpe's Neurology of the Newborn [Internet]. 7th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 166-98. Disponible en: https://books.google.com.cu/books/about/Volpe_s_Neurology_of_the_Newborn_E_Book.html?id=25rxEAAAQBAJ&redir_esc=y
5. Scher MS. The First Thousand Days: Define a Fetal/Neonatal Neurology. Front Pediatr [Internet]. 2021 [citado 04/01/2025]; 9: 1-28. Disponible en: https://www.frontiersin.org/articles/10.3389/fped.2021.683138/full
6. Johnson J, Batra M. Prematurity and Stillbirth: Causes and Prevention. In: Gleason CA, Sawyer T, editors. Avery’s Disease of the Newborn [Internet]. 11th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 50-57. Disponible en: https://www.digital.avicennamch.com/updata/services/file_file/Avery%20s%20Diseases%20of%20the%20Newborn%20Eleventh%20Edition%202024.pdf
7. Fleiss B, Stolp H, Mezger V, Gressens P. Central Nervous System Development. In: Gleason CA, Sawyer T, editors. Avery’s Disease of the Newborn [Internet]. 11th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 781-86. Disponible en: https://hal.science/hal-04043990/document
8. Förster J, López I. Neurodesarrollo humano: un proceso de cambio continuo de un sistema abierto y sensible al contexto. Rev Med Clin Condes [Internet]. 2022 [citado 04/01/2025];33(4):338-46. Disponible en: https://doi.org/10.1016/j.rmclc.2022.06.001
9. Campoy C, Chisaguano Tonato AM, de la Garza Puentes A, Sáenz de Pipaón M, Verduci E, Koletzko B, et al. Controversia actual sobre el papel crítico de los ácidos grasos poliinsaturados de cadena larga, araquidónico (ARA) y docosahexaenoico (DHA), en el lactante. Nutr Hosp [Internet]. 2021 [citado 04/01/2025]; 38(5): 1101-12. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112021000600027
10. Robaina Castellanos GR, Riesgo Rodríguez SC. La encefalopatía de la prematuridad, una entidad nosológica en expansión. Rev Cubana Pediatr [Internet]. 2015 Jun [citado 04/01/2025]; 87(2): 224-40. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=60078
11. Pierson CR, Volpe JJ. Encephalopathy of Prematurity: Neuropathology. In: Volpe JJ, editor. Volpe's Neurology of the Newborn [Internet]. 7th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 506-22. Disponible en: https://ohiostate.elsevierpure.com/en/publications/encephalopathy-of-prematurity-neuropathology/
12. Back ST, Volpe JJ. Encephalopathy of Prematurity: Pathophysiology. In: Volpe JJ, editor. Volpe's Neurology of the Newborn [Internet]. 7th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 523-46. Disponible en: https://ohsu.elsevierpure.com/en/publications/encephalopathy-of-prematurity-pathophysiology/
13. Inder TE, Volpe JJ. Encephalopathy of the Preterm: Clinical Aspects. In: Volpe JJ, editor. Volpe's Neurology of the Newborn [Internet]. 7th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 547-88. Disponible en: https://www.researchgate.net/publication/387614024_Encephalopathy_of_the_Preterm-Clinical_Aspects
14. Trowbridge SK, Yang E, Yuskaitis CJ. Congenital Anomalies of the Central Nervous System. In: Kliegman RM, St Geme JW 3rd, editors. Nelson Textbook of Pediatrics [Internet]. 22th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 3561-83. Disponible en: https://www.clinicalkey.com/#!/browse/book/3-s2.0-C2020103101X
15. Vidaurre Herrera CA, Quiroz Rojas L. Displasia cortical focal, causa frecuente de epilepsia. Anales Radiol México [Internet]. 2021 [citado 04/01/2025]; 20: 218-24. Disponible en: https://analesderadiologiamexico.com/portadas/arm_21_20_3.pdf#page=54
16. Torres Campoverde FM, Abad Herrera EP. Caracterización de la displasia cortical focal en pacientes atendidos en el Hospital Metropolitano, 2010-2021. MetroCiencia [Internet]. 2022 Dic 30 [citado 04/01/2025]; 30(4): 22-34. Disponible en: https://www.revistametrociencia.com.ec/index.php/revista/article/view/486
17. Buompadre MC. Malformaciones del desarrollo cortical: ¿qué hay de nuevo?. Medicina (B Aires) [Internet]. 2024 Nov [citado 04/01/2025]; 84(Suppl 3): 32-8. Disponible en: https://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802024000700032&lng=es
18. Hermont CB, Fernandes MEP, Fonseca TB, Araujo CNG, Santana LC, Santos DTRF, et al. Malformaciones corticales en polimicrogiria: perspectivas clínicas y genéticas para la mejora del tratamiento. Braz J Hea Rev [Internet]. 2024 Ago 19 [citado 04/01/2025];7(4): E72000. Disponible en: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/72000
19. Buompadre MC. Epilepsias en las malformaciones del desarrollo cortical. Medicina (B Aires) [Internet]. 2019 Sep [citado 04/01/2025];79(Suppl 3):37-41. Disponible en: https://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802019000700010&lng=es
20. Flores-Dinorin L. Cuadro clínico de los trastornos de la migración neuroblástica. Rev Neurol [Internet]. 1999 [citado 04/01/2025]; 28(10):990-6. Disponible en: https://doi.org/10.33588/rn.2810.98476
21. O’Neill ME, Shapiro BK. Developmental Delay and Intellectual Disability. In: Kliegman RM, St Geme JW 3rd, editors. Nelson Textbook of Pediatrics [Internet]. 22th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 346-62. Disponible en: https://pure.johnshopkins.edu/en/publications/developmental-delay-and-intellectual-disability/
22. Volpe JJ. El recién nacido prematuro tardío: corteza cerebral vulnerable y gran carga de discapacidad. J Med Neonatal Perinatal [Internet]. 2021 [citado 04/01/2025]; 15(1):1-5. Disponible en: https://doi.org/10.3233/NPM-210803
23. Bridgemohan CF, Weitzman CC. Autism Spectrum Disorder. In: Kliegman RM, St Geme JW 3rd, editors. Nelson Textbook of Pediatrics [Internet]. 22th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 373-83. Disponible en: https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780323883054000584
24. Oduardo Pérez A, Rodríguez Puga R, Llanes Oduardo E, Gómez Cardoso ÁL, Núñez Rodríguez OL, Cortiñas Noy A. Caracterización clínico-epidemiológica de pacientes pediátricos con diagnóstico de trastorno del espectro autista. Rev Hosp Psiq Habana [Internet]. 2023 [citado 04/01/2025]; 20(2). Disponible en: https://revhph.sld.cu/index.php/hph/article/view/311
25. Kostović I, Radoš M, Kostović-Srzentić M, Krsnik Z. Fundamentos del desarrollo de la conectividad en el cerebro fetal humano en la gestación tardía: desde las 24 semanas de edad gestacional hasta el término. J Neuropathol Exp Neurol [Internet]. 2021 [citado 04/01/2025];80(5):393-414. Disponible en: https://doi.org/10.1093/jnen/nlab024
26. Van Steenwinckel J, Bokobza C, Laforge M, Shearer IK, Miron VE, Rua R. Key roles of glial cells in the encephalopathy of prematurity. Glia [Internet]. 2024 [citado 04/01/2025]; 72(3): 475–503. Disponible en: https://onlinelibrary.wiley.com/doi/full/10.1002/glia.24474
27. Adle-Biassette H. Neurodevelopmental Sequelae of Preterm Infants: Scientific Challenges. J Neuropathol Exp Neurol [Internet]. 2021 [citado 04/01/2025]; 80(5): 390-2. Disponible en: https://doi.org/10.1093/jnen/nlab035
28. Riddle A, Miller SP, Mezger V, Back SA. Brain Injury in the Preterm Infant. In: Gleason CA, Sawyer T, editors. Avery’s Disease of the Newborn [Internet]. 11th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 809-26. Disponible en: https://ohsu.elsevierpure.com/en/publications/brain-injury-in-the-preterm-infant-3/
29. Haynes RL, Kinney HC, Volpe JJ. Myelination Events. In: Volpe JJ, editor. Volpe's Neurology of the Newborn [Internet]. 7th ed. Philadelphia: Elsevier; 2024 [citado 04/01/2025]. p. 199-210. Disponible en: https://www.clinicalkey.com/#!/content/book/3-s2.0-B9780443105135000085
30. Juul SE, Fleiss B, McAdams RM, Gressens P. Estrategias de neuroprotección para el recién nacido. En: Gleason CA, Sawyer T, editors. Avery. Enfermedades del recién nacido [Internet]. 10.ª ed. Barcelona: Elsevier; 2024 [citado 04/01/2025]. p. 910-921. Disponible en: https://www.berri.es/pdf/AVERY.%20ENFERMEDADES%20DEL%20RECIEN%20NACIDO/9788413826837
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Carlos Enrique Piña Borrego

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/
