Anoxia-Ischemia, Brain, Neonatal Encephalopathy
Conditions
Keywords
Anoxia-Ischemia, Brain, postpartum, Electroencephalography, Cerebral oxymetry, Near Infrared spectroscopy, EEG, NIRS, Neonate
Brief summary
Neonatal anoxia-ischemia causes significant neurodevelopmental disorders. In this study the investigators want to better understand the interactions between the nervous and the hemodynamic cerebral systems during the adaptation of the neonate to ectopic life just after birth. Birth is an at risk situation of neonatal anoxic ischemia and the lack of objective criteria for cerebral tissue oxygenation has consequences on neuronal activity. Ph cord analysis is inadequate and only indirectly reflects the state of cerebral oxygenation. Both neuronal and vascular systems are part of the same functional entity and the analysis of their interactions is likely to reveal some early malfunctions of these networks. In this study, the investigators want to develop a multi-scale, multimodal approach that allows simultaneous interrogation of both neuronal and vascular compartments during the 15 minutes after delivery. The investigators will record, with the aid of a single sensor placed on the scalp of the child, the electroencephalogram and the cerebral tissue oxygenation. The investigators will measure interactions by means of correlation analysis between both signals.
Interventions
DIAGNOSTIC_TESTelectroencephalogram
Within the 5 min after birth the electroencephalogram of the neonates will be recorded with the aid of a patch on the scalp
DIAGNOSTIC_TESToxymetry
Within the 5 min after birth the cerebral oxymetry of the neonates will be recorded with the aid of a patch on the scalp
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SCREENING
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
1 Years to 15 Years
Healthy volunteers
No
Inclusion criteria
* Full term neonates between 36 and 41 weeks Gestational Age
Exclusion criteria
* Premature neonates * Neonates of twin pregnancy * Suspicion of congenital malformation seen in antenatal ultrasound * Any pathology requiring pediatric care from birth * Newborns whose mothers had a chronic viral infection such as AIDS, hepatitis B or C, or who had a multidrug-resistant bacteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Temporal correlation with EEG | within the 5 minutes after birth | Within the 5 min after birth the electroencephalogram and the cerebral oxymetry of the neonates will be recorded with the aid of a patch on the scalp. A multimodal approach must be developed to interrogate the dynamics and interactions of neuronal and vascular compartments, which constitute a single functional unit. |
| time-frequency correlation with EEG | within the 5 minutes after birth | Within the 5 min after birth the electroencephalogram and the cerebral oxymetry of the neonates will be recorded with the aid of a patch on the scalp. A multimodal approach must be developed to interrogate the dynamics and interactions of neuronal and vascular compartments, which constitute a single functional unit. |
| temporal correlation with NIRS signals | within the 5 minutes after birth | Within the 5 min after birth the electroencephalogram and the cerebral oxymetry of the neonates will be recorded with the aid of a patch on the scalp. A multimodal approach must be developed to interrogate the dynamics and interactions of neuronal and vascular compartments, which constitute a single functional unit. |
| time-frequency correlation with NIRS signals | within the 5 minutes after birth | Within the 5 min after birth the electroencephalogram and the cerebral oxymetry of the neonates will be recorded with the aid of a patch on the scalp. A multimodal approach must be developed to interrogate the dynamics and interactions of neuronal and vascular compartments, which constitute a single functional unit. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mode of delivery correlation with temporal and EEG data | within the 5 minutes after birth | Within the 5 min after birth the electroencephalogram and the cerebral oxymetry of the neonates will be recorded with the aid of a patch on the scalp. |
Countries
France
Contacts
CONTACTFabrice Wallois, Pr
CONTACTJean Gondry, Pr
Outcome results
None listed