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Cited by 268

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.

Delayed childhood neurodevelopment and neurosensory alterations in the second year of life in a prospective cohort of ZIKV-exposed children

Open access
Nielsen-Saines, Karin, Brasil, Patrícia, Kerin, Tara, Vasconcelos, Zilton, Gabaglia, Claudia Raja, Damasceno, Luana, Pone, Marcos, Abreu de Carvalho, Liege M., Pone, Sheila M., Zin, Andrea A., Tsui, Irena, Salles, Tania Regina S., da Cunha, Denise Cotrim, Costa, Roozemerie Pereira, Malacarne, Jociele, Reis, Ana Beatriz, Hasue, Renata Hydee, Aizawa, Carolina Y. P., Genovesi, Fernanda F., Einspieler, Christa, Marschik, Peter B, Pereira, José Paulo, Gaw, Stephanie L., Adachi, Kristina, Cherry, James D., Xu, Zhiheng, Cheng, Genhong, Moreira, Maria Elisabeth·2019·Nature Medicine

Abstract

We report neurodevelopmental outcomes in 216 infants followed since the time of PCR-confirmed maternal Zika virus (ZIKV) infection in pregnancy during the Rio de Janeiro epidemic of 2015–2016 (refs. 1,2). Neurodevelopment was assessed by Bayley Scales of Infant and Toddler Development, third edition (Bayley-III; cognitive, language and motor domains) in 146 children and through neurodevelopment questionnaires/neurological examinations in 70 remaining children. Complete eye exams (n = 137) and hearing assessments (n = 114) were also performed. Below-average neurodevelopment and/or abnormal eye or hearing assessments were noted in 31.5% of children between 7 and 32 months of age. Among children assessed by Bayley-III, 12% scored below –2 s.d. (score <70; a score of 100 ± 2 s.d. is the range) in at least one domain; and 28% scored between −1 and −2 s.d. in any domain (scores <85–70). Language function was most affected, with 35% of 146 children below average. Improved neurodevelopmental outcomes were noted in female children, term babies, children with normal eye exams and maternal infection later in pregnancy (P = 0.01). We noted resolution of microcephaly with normal neurodevelopment in two of eight children, development of secondary microcephaly in two other children and autism spectrum disorder in three previously healthy children in the second year of life. Nearly one-third of infants born to mothers with confirmed Zika virus (ZIKV) infection during pregnancy have developmental impairments that can be delayed in their presentation, warranting long-term monitoring of ZIKV-exposed children.

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Metadata

Authors
Nielsen-Saines, K., Brasil, P., Kerin, T., Vasconcelos, Z., Gabaglia, C. R., Damasceno, L., Pone, M., Abreu de Carvalho, L. M., Pone, S. M., Zin, A. A., Tsui, I., Salles, T. R. S., da Cunha, D. C., Costa, R. P., Malacarne, J., Reis, A. B., Hasue, R. H., Aizawa, C. Y. P., Genovesi, F. F., Einspieler, C., Marschik, P. B., Pereira, J. P., Gaw, S. L., Adachi, K., Cherry, J. D., Xu, Z., Cheng, G., & Moreira, M. E.
Venue
Nature Medicine
Published
2019-07-08
Volume
25
Issue
8
Pages
1213-1217
ISSN
  • 1078-8956 (ISSN-L)
  • 1546-170X
OpenAlex
W2961245124
Cited by
268
References
37
FWCI
33.70
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Delayed childhood neurodevelopment and neurosensory alterations in the second year of life in a prospective cohort of ZIKV-exposed children. https://app.cochat.ai/papers/10.1038/s41591-019-0496-1
The paper
Nielsen-Saines, K., Brasil, P., Kerin, T., Vasconcelos, Z., Gabaglia, C. R., Damasceno, L., Pone, M., Abreu de Carvalho, L. M., Pone, S. M., Zin, A. A., Tsui, I., Salles, T. R. S., da Cunha, D. C., Costa, R. P., Malacarne, J., Reis, A. B., Hasue, R. H., Aizawa, C. Y. P., Genovesi, F. F., . . . Moreira, M. E. (2019). Delayed childhood neurodevelopment and neurosensory alterations in the second year of life in a prospective cohort of ZIKV-exposed children. Nature Medicine. https://doi.org/10.1038/s41591-019-0496-1

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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