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Advancing the Field of Fetal Neurology: A Call for Global Collaborations
Indian Pediatrics ( IF 2.3 ) Pub Date : 2023-11-15 , DOI: 10.1007/s13312-023-3007-x
Sonika Agarwal , Charu Venkatesan , Tomo Tarui , Dawn Gano

Fetal Neurology continues to grow as a distinct subspecialty informed by evolving precision diagnosis with advancements in prenatal neuroimaging, genetic and infectious testing. While there are inherent limitations and challenges in prenatal diagnostic testing and prognostic counseling, the interdisciplinary approach allows comprehensive guidance for perinatal and postnatal management of neurological disorders detected early in development. The current practice of fetal neurology is heterogenous and variable across centers. In low- and middle-income countries (LMICs), fetal neurology practice is under the umbrella of neonatal and perinatal medicine. Since infrastructure and capacity for prenatal diagnostic and prognostic counseling may be variable, the practice approach may have to be modified regionally based on resources, education, and setting. There is a need for collaborative development of educational opportunities, training, guidelines, and research exploring short- and long-term outcome of prenatally identified neurological conditions. Interdisciplinary collaborations and global professional networks are crucial to advance this unique subspecialty.



中文翻译:

推进胎儿神经病学领域:呼吁全球合作

胎儿神经病学作为一个独特的亚专业不断发展,通过不断发展的精确诊断以及产前神经影像、遗传和感染检测的进步。虽然产前诊断测试和预后咨询存在固有的局限性和挑战,但跨学科方法可以为发育早期检测到的神经系统疾病的围产期和产后管理提供全面指导。当前胎儿神经病学的实践在各个中心之间是异质且可变的。在低收入和中等收入国家(LMIC),胎儿神经病学实践属于新生儿和围产期医学的范畴。由于产前诊断和预后咨询的基础设施和能力可能各不相同,因此可能必须根据资源、教育和环境对实践方法进行区域性修改。需要合作开发教育机会、培训、指南和研究,探索产前确定的神经系统疾病的短期和长期结果。跨学科合作和全球专业网络对于推进这一独特的子专业至关重要。

更新日期:2023-11-16
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