Document Detail


Hypoxic-ischemic encephalopathy: correlation of serial MRI and outcome.
MedLine Citation:
PMID:  15464639     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty-four patients with hypoxic-ischemic encephalopathy were examined with serial magnetic resonance imaging up to 4 years of age. Magnetic resonance imaging studies were performed in the neonatal period, at the fourth month and the fourth year of age, and the findings were compared with the patients' neurodevelopmental outcome at the fourth year of age. Periventricular signal alterations and deep gray matter involvement were usually evident in the initial magnetic resonance imaging studies, and encephalomalacia, periventricular leukomalacia, and atrophy were the common findings on follow-up magnetic resonance imaging studies. In the patients with hypoxic-ischemic encephalopathy, some correlation between magnetic resonance imaging findings and neurodevelopmental outcome was recognized. The patients with deep gray matter involvement on the initial magnetic resonance imaging had a poor prognosis, and the ones with normal magnetic resonance imaging findings had a favorable neurodevelopmental outcome. On the follow-up magnetic resonance imaging findings, encephalomalacia and periventricular leukomalacia were associated with poor neurodevelopmental outcome. In predicting the neurologic outcome at 4 years of age, magnetic resonance imaging findings of the neonatal period had the highest negative predictive value, whereas magnetic resonance imaging findings at 4 months of age and 4 years of age had the highest positive predictive value.
Authors:
Nurşen Belet; Umit Belet; Lütfi Incesu; Serap Uysal; Satilmiş Ozinal; Tülay Keskin; A Tevfik Sunter; Sükrü Küçüködük
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric neurology     Volume:  31     ISSN:  0887-8994     ISO Abbreviation:  Pediatr. Neurol.     Publication Date:  2004 Oct 
Date Detail:
Created Date:  2004-10-06     Completed Date:  2005-02-03     Revised Date:  2006-05-23    
Medline Journal Info:
Nlm Unique ID:  8508183     Medline TA:  Pediatr Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  267-74     Citation Subset:  IM    
Affiliation:
Neonatalogy Unit, Ondokuz Mayis University Faculty of Medicine, 55139 Samsun, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Brain / growth & development,  pathology*
Brain Diseases / etiology
Child Development*
Developmental Disabilities / etiology
Female
Follow-Up Studies
Humans
Hypoxia-Ischemia, Brain / complications*,  pathology*
Infant, Newborn
Magnetic Resonance Imaging*
Male
Neurologic Examination
Predictive Value of Tests
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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