Thyroid disease

Neurodevelopmental Follow-Up of Children Born to Mothers with Graves’ Disease and Neonatal Hyperthyroidism

Horm Res PaediatrPublished Retrospective study

Authors' conclusion

These findings suggest neonatal hyperthyroidism might lead to subtle neurodevelopmental variations, with socio-economic elements and family dynamics possibly intensifying these effects. While most children did not show severe impairments, early detection and intervention are recommended. The research emphasizes the necessity for inclusive care approaches that consider socio-economic factors for children affected by neonatal hyperthyroidism.

Study context

Population
Neonates with hyperthyroidism from mothers with Graves' disease (GD), Royal Children's Hospital, Melbourne10 consented
Participants
21 neonates
Exposure
Children with neonatal hyperthyroidism born to mothers with GD vs community controls
  • Patientsn = 10
Outcome
Social difficulties (SCQ score)
Methodological detailssingle-centre, questionnaire-based, community controls
  • Single-centre
  • Questionnaire-based
  • Community controls

Main finding

As reported in the abstract

Patients

12.1

± 2.5

Controls

6

± 1.07

P = 0.008

Observational data: associations, not effects.

Further findings

OutcomePatientsControlsP value
Behavioural difficulties (SDQ score)More behavioural difficulties in patients10.2 ± 2.176.14 ± 1.03P = 0.03
Parental university-level education · higher proportion in control parents
P = 0.003

Executive function (BRIEF)

Increased executive function challenges in patients (problem-solving and self-regulation difficulties)

Participants vs non-participants

No significant demographic or clinical differences between participants (n = 10) and non-participants (n = 11)

Socio-demographic factors

Significant effects of family living situation and partner education level on neurodevelopmental measures

Original publication

Neurodevelopmental Follow-Up of Children Born to Mothers with Graves’ Disease and Neonatal Hyperthyroidism. Horm Res Paediatr. Published 8 May 2024. doi:10.1159/000539268

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