Hypoxic-ischemic encephalopathy: Correlation of serial MRI and outcome
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 patie...
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| Veröffentlicht in: | Pediatric neurology 2004-10, Vol.31 (4), p.267-274 |
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| creator | Belet, Nurşen Belet, Umit İncesu, L.ütfi Uysal, Serap Özinal, Satılmış Keskin, T.ülay Sunter, A.Tevfik Küçüködük, S.̧ükrü |
| description | 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. |
| doi_str_mv | 10.1016/j.pediatrneurol.2004.04.011 |
| format | Article |
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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.</description><identifier>ISSN: 0887-8994</identifier><identifier>EISSN: 1873-5150</identifier><identifier>DOI: 10.1016/j.pediatrneurol.2004.04.011</identifier><identifier>PMID: 15464639</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Biological and medical sciences ; Brain - growth & development ; Brain - pathology ; Brain Diseases - etiology ; Child Development ; Developmental Disabilities - etiology ; Female ; Follow-Up Studies ; Humans ; Hypoxia-Ischemia, Brain - complications ; Hypoxia-Ischemia, Brain - pathology ; Infant, Newborn ; Investigative techniques, diagnostic techniques (general aspects) ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Nervous system ; Neurologic Examination ; Neurology ; Predictive Value of Tests ; Prospective Studies ; Radiodiagnosis. Nmr imagery. 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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.</description><subject>Biological and medical sciences</subject><subject>Brain - growth & development</subject><subject>Brain - pathology</subject><subject>Brain Diseases - etiology</subject><subject>Child Development</subject><subject>Developmental Disabilities - etiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Hypoxia-Ischemia, Brain - complications</subject><subject>Hypoxia-Ischemia, Brain - pathology</subject><subject>Infant, Newborn</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system</subject><subject>Neurologic Examination</subject><subject>Neurology</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Radiodiagnosis. Nmr imagery. Nmr spectrometry</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0887-8994</issn><issn>1873-5150</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkFtr1EAUgAex2LX6FyQg9i3bOZlr9KksrS1UBNHnYWZyws6SZOJMIt1_b8IuFN-EAwcO37l9hHwEugUK8uawHbEJdkoDzil224pSvl0D4BXZgFasFCDoa7KhWqtS1zW_JG9zPlBKRV3xN-QSBJdcsnpD7h-OY3wOvgzZ77EPvsDB47i3XRzttD9-LnYxJezsFOJQxLbImILtim8_Hgs7NEWcJx97fEcuWttlfH_OV-TX_d3P3UP59P3r4-72qfSc1lNZOeWcrLXglvIamKqY48wBW0qqspYpKbXSFbhWgWdCCyooOt1Kt3zXNuyKXJ_mjin-njFPpl8Ox66zA8Y5GylrAVSIBfxyAn2KOSdszZhCb9PRADWrRnMw_2g0q0azBsDS_eG8ZnY9Ni-9Z28L8OkM2Oxt1yY7-JBfOFkBV4wu3N2Jw0XKn4DJZB9Ww01I6CfTxPBfB_0FvC6XcA</recordid><startdate>20041001</startdate><enddate>20041001</enddate><creator>Belet, Nurşen</creator><creator>Belet, Umit</creator><creator>İncesu, L.ütfi</creator><creator>Uysal, Serap</creator><creator>Özinal, Satılmış</creator><creator>Keskin, T.ülay</creator><creator>Sunter, A.Tevfik</creator><creator>Küçüködük, S.̧ükrü</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20041001</creationdate><title>Hypoxic-ischemic encephalopathy: Correlation of serial MRI and outcome</title><author>Belet, Nurşen ; Belet, Umit ; İncesu, L.ütfi ; Uysal, Serap ; Özinal, Satılmış ; Keskin, T.ülay ; Sunter, A.Tevfik ; Küçüködük, S.̧ükrü</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-2b7bb69854a04913723b43b1398572aa376687821bf71c3585050eb8f6b011fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Biological and medical sciences</topic><topic>Brain - growth & development</topic><topic>Brain - pathology</topic><topic>Brain Diseases - etiology</topic><topic>Child Development</topic><topic>Developmental Disabilities - etiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Hypoxia-Ischemia, Brain - complications</topic><topic>Hypoxia-Ischemia, Brain - pathology</topic><topic>Infant, Newborn</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system</topic><topic>Neurologic Examination</topic><topic>Neurology</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Radiodiagnosis. Nmr imagery. Nmr spectrometry</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Belet, Nurşen</creatorcontrib><creatorcontrib>Belet, Umit</creatorcontrib><creatorcontrib>İncesu, L.ütfi</creatorcontrib><creatorcontrib>Uysal, Serap</creatorcontrib><creatorcontrib>Özinal, Satılmış</creatorcontrib><creatorcontrib>Keskin, T.ülay</creatorcontrib><creatorcontrib>Sunter, A.Tevfik</creatorcontrib><creatorcontrib>Küçüködük, S.̧ükrü</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Belet, Nurşen</au><au>Belet, Umit</au><au>İncesu, L.ütfi</au><au>Uysal, Serap</au><au>Özinal, Satılmış</au><au>Keskin, T.ülay</au><au>Sunter, A.Tevfik</au><au>Küçüködük, S.̧ükrü</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hypoxic-ischemic encephalopathy: Correlation of serial MRI and outcome</atitle><jtitle>Pediatric neurology</jtitle><addtitle>Pediatr Neurol</addtitle><date>2004-10-01</date><risdate>2004</risdate><volume>31</volume><issue>4</issue><spage>267</spage><epage>274</epage><pages>267-274</pages><issn>0887-8994</issn><eissn>1873-5150</eissn><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>15464639</pmid><doi>10.1016/j.pediatrneurol.2004.04.011</doi><tpages>8</tpages></addata></record> |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Biological and medical sciences Brain - growth & development Brain - pathology Brain Diseases - etiology Child Development Developmental Disabilities - etiology Female Follow-Up Studies Humans Hypoxia-Ischemia, Brain - complications Hypoxia-Ischemia, Brain - pathology Infant, Newborn Investigative techniques, diagnostic techniques (general aspects) Magnetic Resonance Imaging Male Medical sciences Nervous system Neurologic Examination Neurology Predictive Value of Tests Prospective Studies Radiodiagnosis. Nmr imagery. Nmr spectrometry Vascular diseases and vascular malformations of the nervous system |
| title | Hypoxic-ischemic encephalopathy: Correlation of serial MRI and outcome |
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