Modern ethiopathogenetic and clinical diagnostic aspects of vegeto-visceral dysfunctions in new-born with perinatal affection of the central nervous system

Aim of the research is to analyze modern views on ethiopathogenetic mechanisms and clinical diagnostic approaches to vegetative dysfunctions in newborns with PACNS. We analyzed 26 of Russian and foreign publications dedicated to study of vegeto-visceral dysfunctions as a syndrome of perinatal affection of the central nervous system. We have found that perinatal affection of the central nervous system (CNS) is the major disease in morbidity patterns of the new-born and is associated mainly with intrauterine hypoxia and birth asphyxia. Affection of diencephalic structures, visceral brain and spinal bulb in connection with immature higher vegetative centers is the major pathogenic mechanism of vegeto-visceral dysfunction developing, and it is relevant. Clinical symptoms may be represented both in acute and rehabilitation periods of the CNS affection. The symptoms of vegeto-visceral dysfunctions are non-specific that makes it difficult to give a diagnosis and requires more thorough and detailed examination of the vegetative function of the CNS. Researchers note that such non-invasive and simple method of cardiointervalography (CIG) is informative in this case. Much attention is paid to follow-up supervision of children who have suffered perinatal affection of the central nervous system (PACNS) with the syndrome of vegeto-visceral dysfunctions as a risk factor for a permanent vegetative dysfunction.