期刊
CEREBRAL CORTEX
卷 32, 期 11, 页码 2385-2397出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/cercor/bhab338
关键词
antiepileptic drug; brain network; infant; neurodevelopment; neurology
资金
- Academy of Finland (Suomen Akatemia) [321235, 313242, 288220, 310445]
- Sigrid Juselius Foundation (Sigrid Juseliuksen Saatio)
- Foundation for Pediatric Research (Lastentautien Tutkimussaatio)
- Finnish Brain Foundation (Suomen Aivosaatio)
- National Health and Medical Research Council [1138711, 2001283, 452-16-015]
- ALW open [ALWOP.179]
- Netherlands Organization for Scientific Research (NWO) [452-16-015]
- European Research Council [101001062]
- Academy of Finland (AKA) [321235, 288220, 310445, 321235, 310445, 288220] Funding Source: Academy of Finland (AKA)
- European Research Council (ERC) [101001062] Funding Source: European Research Council (ERC)
- National Health and Medical Research Council of Australia [2001283, 1138711] Funding Source: NHMRC
In utero exposure to antiepileptic medication can impact cortical activity during neonatal sleep, with effects differing between drugs. These effects on functional brain networks provide prognostic information for later neurodevelopment. This study offers bedside metrics sensitive to the effects of antiepileptic drugs on postnatal neurodevelopment.
In utero brain development underpins brain health across the lifespan but is vulnerable to physiological and pharmacological perturbation. Here, we show that antiepileptic medication during pregnancy impacts on cortical activity during neonatal sleep, a potent indicator of newborn brain health. These effects are evident in frequency-specific functional brain networks and carry prognostic information for later neurodevelopment. Notably, such effects differ between different antiepileptic drugs that suggest neurodevelopmental adversity from exposure to antiepileptic drugs and not maternal epilepsy per se. This work provides translatable bedside metrics of brain health that are sensitive to the effects of antiepileptic drugs on postnatal neurodevelopment and carry direct prognostic value.
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