Table 1.
Summary of Clinical Studies of Brain Outcomes Associated with Prenatal Preeclampsia Exposurea
Category | Relevant findings in offspring | Refs | |
---|---|---|---|
Neuropsychiatric outcomes | Autism | ↑ Autism and autism symptoms with PEb and ↑ PE severity, ↑ PE with autism | [8–14] |
ADHD | ↑ ADHD +/– stimulant treatment with PE | [8,17,18] | |
Anxiety and mood disorders | ↑ Anxiety and depressive disorders and symptoms +/– autonomic dysfunction with PE or hypertensive pregnancy (females N males) | [19,27,28,30] | |
Schizophrenia | ↑ Schizophrenia, psychotic disorders with PE or hypertensive pregnancy | [27,29,30,36] | |
Emotional dysregulation | ↑ Difficult temperament, ↓ or no change in internalizing problems with PE | [20,38,39] | |
Eating disorders | No change in eating disorder incidence with PE | [14] | |
Cognitive outcomes | ↓ Or no change in IQ, ↓ development, ↓ working memory, ↓ verbal ability, ↓ math scores, ↑ memory problems with PE or hypertensive pregnancy | [30,39,42–51] | |
Neurological outcomes | Cerebral palsy | ↑ Cerebral palsy (overall, not subtype-specific) with PE | [14,58,59] |
Stroke | ↑ Stroke with PE | [56] | |
Other | ↑ Epilepsy, infantile spasms, sleep apnea, or no motor/neurological problems with PE | [14,39] | |
Brain abnormalities | Volume | ↑ Cerebellum, temporal lobe, brain stem, amygdala, caudate nucleus, and superior longitudinal fasciculus volume with PE | [16,63] |
Connectivity | ↑ Fractional anisotropy in caudate; ↑ parallel diffusivity in cingulate; ↑ functional connectivity between amygdalae and frontal poles and medial prefrontal cortex and precuneus; ↓ functional connectivity between medial prefrontal cortex and left occipital fusiform with PE | [63,64] | |
Vasculature | ↓ Occipital and parietal lobe cerebral vessel radii with PE | [16] |
See Table S1 in the supplemental information online for details of each study.
Abbreviation: PE, preeclampsia.