Cerebral metabolism in severe neonatal hyperbilirubinemia

Pediatrics. 2004 Jul;114(1):291-4. doi: 10.1542/peds.114.1.291.

Abstract

The metabolism of the basal ganglia was examined by using proton magnetic resonance spectroscopy in 5 neonates with severe hyperbilirubinemia. A decreased N-acetylaspartate/choline ratio, indicating neuronal injury, and an abnormally high lactate/N-acetylaspartate ratio were found only in the neonate with neonatal magnetic resonance imaging abnormalities and subsequent cerebral palsy.

MeSH terms

  • Aspartic Acid / analogs & derivatives*
  • Aspartic Acid / metabolism
  • Basal Ganglia / metabolism*
  • Bilirubin / blood
  • Cerebral Palsy / etiology
  • Choline / metabolism
  • Evoked Potentials, Auditory, Brain Stem
  • Humans
  • Infant, Newborn
  • Jaundice, Neonatal / complications
  • Jaundice, Neonatal / metabolism*
  • Lactic Acid / blood
  • Lactic Acid / metabolism
  • Magnetic Resonance Imaging
  • Magnetic Resonance Spectroscopy

Substances

  • Aspartic Acid
  • Lactic Acid
  • N-acetylaspartate
  • Choline
  • Bilirubin