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Valleur-Masson Institut de puriculture et de prinatalogie de Paris $JH9%Enfants avec RCIU non syndromique&&(Principaux troubles du dveloppement neurologique observs: Infirmit motrice crbrale Diminution globale performances intellectuelles Troubles cognitifs troubles scolaires Troubles du comportement B<d<4Infirmit motrice crbrale Quelles modifications?? 55LJQuotient intellectuelJ QI global influenc par: Importance du RCIU, Complications nonatales, Conditions socioconomiques (Van Erum 1998) Importance variable selon les auteurs A terme: 28% QI RCIU versus 14% eutrophiques (Goldenberg 1996) De 4 10 points entre RCIU et eutrophiques de mme terme PPP>P^&@< ,n E>Troubles neurologiques mineurs $ ((en cas de RCIU 37% vs 24 % sur 196 enfants avec RCIU et 303 eutrophiques terme ( Goldenberg 1998 ) troubles globaux mineurs de la motricit : maladresse globale,troubles motricit fine,dyspraxies& ( Koh 1999 )PeP4PP$B $c$' , MKTroubles du comportement(1)(Troubles prcoces perturbant la relation Plus tard troubles variables: Hyperactivit Anxit, irritabilit, troubles concentration Retentissement dpend du milieu socioconomique,IlIl ? Troubles du comportement(2)Les troubles type hyperactivit, troubles attentionnels vont entraner des difficults scolaires mme si QI normal A terme 8 ans 18 % vs 5% ( Ounsted 1988 ) u7s $     QOlments aggravant le pronostic Age gestationnel: Plus hypotrophie prcoce, plus impact important Age corrig la sortie de nonatalogie Sexe masculin PC qui ne croit pas assez vite en postnatal 0b0 * @%Influence de la croissance crbrale (&$(PCN < 10 per avant 26 SA entrane une diminution des capacits neurologiques dans tous les domaines (Ounsted 1988) Croissance postnatale du PC corrle au niveau de l intelligence, motricit fine, capacits d apprentissage (Ounsted 1984 )eZZZoZZe o  > a!A'Rle de la rapidit de croissance du PC(((Si PC < -2 DS 8-12 mois d AC 21% anomalies neurologiques vs 8% Si PC > -2 DS 3 ans risque troubles qui seraient transitoires Si PC < -2 DS 3 ans trs haut risque de squelles intellectuelles dfinitives (Hack 1998) "(   ,! ,    -     9      #CSur le plan scolaire(Mta-analyse sur les RCIU de Shaap (1999) Avant 7 ans: 83% scolarit normale (10 % soutien, 19% redoublement) Aprs 7 ans: 66% scolarit classique (20 % soutien, 43% redoublement) 34% cole spcialise QI non significativement diminu troubles comportement +++ +#!&!!"')         !    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