Publications by authors named "A C Nagasunder"

Article Synopsis
  • Sleep disordered breathing is common during pregnancy and may lead to complications for mothers and abnormal fetal growth, although human data on growth outcomes is mixed.
  • A systematic review and meta-analysis of 63 studies involving over 67,000 pregnant women showed that habitual snoring and obstructive sleep apnea increased the risk for larger than average newborns, while obstructive sleep apnea diagnosed with international codes was linked to smaller than average newborns.
  • The findings suggest that the type of sleep disorder and diagnostic method matters in understanding the impact on fetal growth, and further research is needed to explore the underlying mechanisms and potential treatments.
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Preterm birth is associated with alteration in corticothalamic development, which underlies poor neurodevelopmental outcomes. Our hypothesis was that preterm neonates with CHD would demonstrate abnormal thalamic microstructure when compared to critically ill neonates without CHD. A secondary aim was to identify any association between thalamic microstructural abnormalities and perioperative clinical variables.

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Background And Purpose: Abnormal cerebral microstructure has been documented in term neonates with congenital heart disease, portending risk for injury and poor neurodevelopmental outcome. Our hypothesis was that preterm neonates with congenital heart disease would demonstrate diffuse cerebral microstructural abnormalities when compared with critically ill neonates without congenital heart disease. A secondary aim was to identify any association between microstructural abnormalities, white matter injury (eg, punctate white matter lesions), and other clinical variables, including heart lesions.

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Background And Purpose: The neuroanatomic substrate of cognitive deficits in long-term survivors of prematurity with PVL is poorly understood. The thalamus is critically involved in cognition via extensive interconnections with the cerebral cortex. We hypothesized that the thalamus is atrophic (reduced in volume) in childhood survivors of prematurity with neuroimaging evidence of PVL and that the atrophy is associated with selective microstructural abnormalities within its subdivisions.

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