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dc.contributor.authorAraujo Junior, David Alves de-
dc.contributor.authorMotta, Felipe-
dc.contributor.authorFernandes, Geraldo Magela-
dc.contributor.authorCastro, Maria Eduarda Canellas de-
dc.contributor.authorSasaki, Lizandra Moura Paravidine-
dc.contributor.authorLuna, Licia Pacheco-
dc.contributor.authorRodrigues, Thalys Sampaio-
dc.contributor.authorKurizky, Patricia Shu-
dc.contributor.authorSoares, Alexandre Anderson de Sousa Munhoz-
dc.contributor.authorNóbrega, Otávio de Tolêdo-
dc.contributor.authorEspindola, Laila Salmen-
dc.contributor.authorZaconeta, Alberto Carlos Moreno-
dc.contributor.authorGomes, Ciro Martins-
dc.contributor.authorMartins Filho, Olindo Assis-
dc.contributor.authorAlbuquerque, Cleandro Pires de-
dc.contributor.authorMota, Licia Maria Henrique da-
dc.date.accessioned2024-07-16T14:09:17Z-
dc.date.available2024-07-16T14:09:17Z-
dc.date.issued2023-05-23-
dc.identifier.citationARAUJO JUNIOR, David Alves de et al. Neuroimaging assessment of pediatric cerebral changes associated with SARS-CoV-2 infection during pregnancy. Frontiers in Pediatrics, [S. l.], v. 11, 23 maio 2023. DOI: https://doi.org/10.3389/fped.2023.1194114. Disponível em: https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2023.1194114/full. Acesso em: 16 jul. 2024.pt_BR
dc.identifier.urihttp://repositorio2.unb.br/jspui/handle/10482/48897-
dc.language.isoengpt_BR
dc.publisherFrontierspt_BR
dc.rightsAcesso Abertopt_BR
dc.titleNeuroimaging assessment of pediatric cerebral changes associated with SARS-CoV-2 infection during pregnancypt_BR
dc.typeArtigopt_BR
dc.subject.keywordSARS-CoV-2pt_BR
dc.subject.keywordDesenvolvimento embrionáriopt_BR
dc.subject.keywordUltrassonografia cranianapt_BR
dc.subject.keywordGravidezpt_BR
dc.rights.license© 2023 Alves de Araujo Junior, Motta, Fernandes, Castro, Sasaki, Luna, Rodrigues, Kurizky, Soares, Nobrega, Espindola, Zaconeta, Gomes, Martins-Filho, Albuquerque and Mota. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.pt_BR
dc.identifier.doihttps://doi.org/10.3389/fped.2023.1194114pt_BR
dc.description.abstract1Background: SARS-CoV-2 infection and perinatal neurologic outcomes are still not fully understood. However, there is recent evidence of white matter disease and impaired neurodevelopment in newborns following maternal SARS-CoV-2 infection. These appear to occur as a consequence of both direct viral effects and a systemic inflammatory response, with glial cell/myelin involvement and regional hypoxia/microvascular dysfunction. We sought to characterize the consequences of maternal and fetal inflammatory states in the central nervous system of newborns following maternal SARS-CoV-2 infection. Methods: We conducted a longitudinal prospective cohort study from June 2020 to December 2021, with follow-up of newborns born to mothers exposed or not exposed to SARS-CoV-2 infection during pregnancy. Brain analysis included data from cranial ultrasound scans (CUS) with grayscale, Doppler studies (color and spectral), and ultrasound-based brain elastography (shear-wave mode) in specific regions of interest (ROIs): deep white matter, superficial white matter, corpus callosum, basal ganglia, and cortical gray matter. Brain elastography was used to estimate brain parenchymal stiffness, which is an indirect quantifier of cerebral myelin tissue content. Results: A total of 219 single-pregnancy children were enrolled, including 201 born to mothers exposed to SARS-CoV-2 infection and 18 from unexposed controls. A neuroimaging evaluation was performed at 6 months of adjusted chronological age and revealed 18 grayscale and 21 Doppler abnormalities. Predominant findings were hyperechogenicity of deep brain white matter and basal ganglia (caudate nuclei/thalamus) and a reduction in the resistance and pulsatility indices of intracranial arterial flow. The anterior brain circulation (middle cerebral and pericallosal arteries) displayed a wider range of flow variation than the posterior circulation (basilar artery). Shear-wave US elastography analysis showed a reduction in stiffness values in the SARS-CoV-2 exposed group in all analyzed regions of interest, especially in the deep white matter elasticity coefficients (3.98 ± 0.62) compared to the control group (7.76 ± 0.77); p-value < 0.001. Conclusion: This study further characterizes pediatric structural encephalic changes associated with SARS-CoV-2 infection during pregnancy. The maternal infection has been shown to be related to cerebral deep white matter predominant involvement, with regional hyperechogenicity and reduction of elasticity coefficients, suggesting zonal impairment of myelin content. Morphologic findings may be subtle, and functional studies such as Doppler and elastography may be valuable tools to more accurately identify infants at risk of neurologic damage.pt_BR
dc.contributor.affiliationUniversity of Brasilia, Department of Medicinept_BR
dc.contributor.affiliationHospital Universitario de Brasíliapt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Melbourne, Austin Health, Department of Medicinept_BR
dc.contributor.affiliationUniversity of Brasilia, Department of Medicinept_BR
dc.contributor.affiliationHospital Universitario de Brasíliapt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasilia, Department of Medicinept_BR
dc.contributor.affiliationHospital Universitario de Brasíliapt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasilia, Department of Medicinept_BR
dc.contributor.affiliationHospital Universitario de Brasíliapt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasilia, Department of Medicinept_BR
dc.contributor.affiliationHospital Universitario de Brasíliapt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, United Statespt_BR
dc.contributor.affiliationUniversity of Melbourne, Austin Health, Department of Medicinept_BR
dc.contributor.affiliationUniversity of Brasilia, Department of Medicinept_BR
dc.contributor.affiliationHospital Universitario de Brasíliapt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasilia, Department of Medicinept_BR
dc.contributor.affiliationHospital Universitario de Brasíliapt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationInstituto René Rachou, Fundação Oswaldo Cruz (FIOCRUZ-Minas)pt_BR
dc.contributor.affiliationUniversity of Brasilia, Department of Medicinept_BR
dc.contributor.affiliationHospital Universitario de Brasíliapt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.contributor.affiliationUniversity of Brasilia, Department of Medicinept_BR
dc.contributor.affiliationHospital Universitario de Brasíliapt_BR
dc.contributor.affiliationUniversity of Brasilia, Medical Sciencespt_BR
dc.description.unidadeFaculdade de Medicina (FM)pt_BR
dc.description.ppgPrograma de Pós-Graduação em Ciências Médicaspt_BR
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