Brain lesions in newborns exposed to high-dose magnesium sulfate during preterm labor View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2006-01

AUTHORS

R Mittendorf, O Dammann, K-S Lee

ABSTRACT

High-dosage, tocolytic magnesium sulfate (MgSO4) administered to pregnant women during preterm labor can be toxic, and sometimes lethal, for their newborns (Cochrane Database of Systematic Reviews (relative mortality risk 2.82, 95% confidence interval 1.2-6.6)). Based on the results of the Magnesium and Neurologic Endpoints Trial and the work of many others, a unifying triangular concept is proposed to account for the increased prevalence of brain lesions, with their likely resultant mortality, in neonates and infants exposed to high-dose MgSO4 in the context of preterm labor. We review the evidence that: (1) elevated circulating levels of serum ionized magnesium occurring in mothers, and therefore in their babies, at the time of delivery are associated with subsequent neonatal intraventricular hemorrhage (IVH); (2) neonatal IVH is strongly associated with lenticulostriate vasculopathy (LSV), an unusual mineralizing lesion involving the thalami and basal ganglia of the neonate; and, (3) exposure to 50 g or more of tocolytic MgSO4 during preterm labor is associated with the development of LSV. More... »

PAGES

57

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/sj.jp.7211419

DOI

http://dx.doi.org/10.1038/sj.jp.7211419

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1046655676

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/16319938


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