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Course of pregnancy
Course of delivery
Rapid delivery
If drug stimulation or surgical
implication was conducted.
Newborn was born full term or
preterm or was excessive fetal
maturity.
If newborn cried at the moment
of the birth.
His/her condition ( weight, sizes)
A)
B)
C)
D)
E)
Reflexes
The only reflexes which newborn
have are those the reflex arch of
which is closed in spinal cord
and basal ganglias and they are
called unconditioned reflexes.
Stable automatisms, those which
exist lifelong: corneal,
conuctivalis, pharynx,
swallowing, sneezing, tendon
( knee, elbow, achilevsis).
Stable automatisms
Full term infants have well developed
feeding, sucking and swallowing reflexes.
Feeding reflex is such strong that it creates
feeding dominant in cortex. Thats why
during feeding all other motor reactions
controlled by cortex are inhibited. This
reflex is not developed only in very severe
preterms.
Stable automatisms are: corneal and
conuctival reflexes. Newborns can also
have Peipers reflex
( irritation by
strong light causes pupillar constriction,
closing of eyes and extension of head).
Babinski reflex
Kerningi sign ( it seems to be
normal sign before 4 month of age).
Examination of reflexes gives us an
information about the state of CNS.
If these reflexes exist at the age
when they have not to be it indicates
on the pathology of CNS.
Abnormality is also if they are
absent at the age when they have to
be.
Laboratory approaches of
investigation of nervous system.
Analysis of blood sample on
bacterias and viruses.
Analysis of blood on metabolic
processes.
Biochemical analysis of urine.
Genetic investigation
Bacterial-viral analysis of CSF.
Biopsy of neural tissue.
Instrumental approaches of
investigation of nervous system
Ophtalmological
Audiometry
Neurosonoscopy
Echoscopy
EEG
X-Ray
EMG
Angiography, myelography
CT
MRI
Ophtalmological Approaches
In newborns the mostly used method is
investigation of eye fundus.
As a result neuroophtalmologist can see
haemmorages, neuritis of disc of
ophtalmical nerve, intracranial
hypertension, revealing by oedema of disc,
widening of venous system, nerve atrophy
( color loss of disc, reducing of size).
Otoneurologic investigation- assessing of
hearing in newborn by means of
audiometry.
Electroencephalography ( EEG)- is an
extremely valuable method to identify
epileptic seizures and mental
retardation signs as well. In recent
years the researchers started to use it
for evaluation of brain death in order to
stop artificial respiration and
emergency help in terminal stage
patients.
Craniography- serves to detect
congenital and acquired defects of
skull: micro,- and macrocephaly,
craniostenosis, intracranial
hypertension.
Analysis of CSF
Is extremely informative in certain
neurological diseases. The
important characters are
transparency, color, pressure,
inclusion and number of cells,
proteins, glucose, chlorides.
Sometimes neurologist needs to
identify bacteries and viruses in
CSF.