Somatosensory and auditory processing in opioid-exposed newborns with neonatal abstinence syndrome: a magnetoencephalographic approach

J Matern Fetal Neonatal Med. 2015;28(17):2015-9. doi: 10.3109/14767058.2014.978755. Epub 2014 Nov 11.

Abstract

Objective: Opioid exposure during pregnancy is a potential risk factor for the developing central nervous system of the fetus. We studied evoked responses in buprenorphine-exposed newborns who displayed neonatal abstinence syndrome (NAS) to elucidate the possible alterations in functioning of the somatosensory and auditory systems.

Methods: We compared somatosensory (SEFs) and auditory evoked magnetic fields (AEFs), recorded with magnetoencephalography (MEG), of 11 prenatally buprenorphine-exposed newborns with those of 12 healthy newborns. Peak latencies, source strength and location of SEFs or AEFs were recorded.

Results: AEFs were present in all buprenorphine-exposed newborns without significant differences from those of healthy newborns. In contrast, though no group level differences in SEFs existed, at individual level the response deviated from the typical neonatal morphology in four buprenorphine-exposed newborns.

Conclusions: Although buprenorphine exposure during pregnancy does not seem to cause constant deficiencies in somatosensory or auditory processing, in some newborns the typical development of somatosensory networks may be - at least transiently - disrupted.

Keywords: Auditory evoked magnetic field; buprenorphine; magnetoencephalography; neonatal abstinence syndrome; somatosensory evoked magnetic field.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics, Opioid / adverse effects
  • Auditory Pathways / drug effects
  • Auditory Pathways / physiopathology
  • Buprenorphine / adverse effects*
  • Evoked Potentials, Auditory*
  • Evoked Potentials, Somatosensory*
  • Female
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Magnetoencephalography*
  • Male
  • Maternal-Fetal Exchange*
  • Neonatal Abstinence Syndrome / etiology
  • Neonatal Abstinence Syndrome / physiopathology*
  • Pregnancy
  • Somatosensory Disorders / diagnosis
  • Somatosensory Disorders / physiopathology

Substances

  • Analgesics, Opioid
  • Buprenorphine