Impact of bilirubin-induced neurologic dysfunction on neurodevelopmental outcomes

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Impact of bilirubin-induced neurologic dysfunction on neurodevelopmental outcomes.

Bilirubin-induced neurologic dysfunction (BIND) is the constellation of neurologic sequelae following milder degrees of neonatal hyperbilirubinemia than are associated with kernicterus. Clinically, BIND may manifest after the neonatal period as developmental delay, cognitive impairment, disordered executive function, and behavioral and psychiatric disorders. However, there is controversy regard...

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Bilirubin/Albumin Ratio for Predicting Acute Bilirubin-induced Neurologic Dysfunction

OBJECTIVE The aim of this study was to evaluate the bilirubin albumin (B/A) ratio in comparison with total serum bilirubin (TSB) for predicting acute bilirubin-induced neurologic dysfunction (BIND). METHODS Fifty two term and near term neonates requiring phototherapy and exchange transfusion for severe hyperbilirubinemia in Children's Medical Center, Tehran, Iran, during September 2007 to Sep...

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Neonatal Seizures: Impact on Neurodevelopmental Outcomes

Neonatal period is the most vulnerable time for the occurrence of seizures, and neonatal seizures often pose a clinical challenge both for their acute management and frequency of associated long-term co-morbidities. Etiologies of neonatal seizures are known to play a primary role in the anti-epileptic drug responsiveness and the long-term sequelae. Recent studies have suggested that burden of a...

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New Concept of Bilirubin-Induced Neurologic Dysfunction: Neonatal Brain Insults of Metal (Copper) Dyshomeostasis

Excessive metal accumulation in the nervous system may be toxic, inducing oxidative stress, disrupting mitochondrial function, and impairing the activity of numerous enzymes. Damage caused by metal excess may result in permanent injuries, including severe neurological disorders. The immature and strikingly vulnerable neurons play an important role in the pathogenesis of bilirubin-induced neurol...

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A Dangerous Vitious Circle of the Neonatal Brain in Bilirubin- Induced Neurologic Dysfunction (BIND)

On the basis of abundant research data and hypotheses the BIND is a neurodegenerative disease (ND) of immature brain caused by accumulation of free copper ions, unconjugated bilirubin (UCB), and UCB-Cu complex (as prooxidant), respectively, in the basal ganglia (BG) and other parts of the central nervous system (CNS) relevant to BIND. The main comorbidity is the hemolysis of neonatal red blood ...

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ژورنال

عنوان ژورنال: Seminars in Fetal and Neonatal Medicine

سال: 2015

ISSN: 1744-165X

DOI: 10.1016/j.siny.2014.12.003