[Extra-hospital death of children with congenital defects and organic injuries of the nervous system].
The paper presents the results of the analysis of extrahospital mortality of children with defects of nervous system. Both social-hygienic and expert methods were used in all the cases of extrahospital death of children with anomalies of the development of nervous system, registered in the region of Penza in 1984-1996 (total = 238 cases). It was found that risk-group of sudden death included children with inborn anomalies of the development of nervous system, with hereditary diseases, with infantile cerebral paralysis and consequences of neuroinfections. Extrahospital death of children was registered mainly in rural regions. Risk-factors of death of children with inborn defects appeared to be seasonal deviations, especially in the period of the season change. The direct causes of the death depended on the type of the defect. A priority of practical neonatology, perinatology and children's neurosurgery is introduction of the methods of antenatal diagnosis and surgical methods for the correction of inborn defects of CNS.