MRI measurements of the pons and cerebellum in children born preterm; associations with the severity of periventricular leukomalacia and perinatal risk factors

Our purpose was to measure the size of the pons and cerebellum in preterm babies with periventricular leukomalacia (PVL), and to study their relationship with the severity of PVL and with perinatal risk factors. We examined 33 premature children, mean gestational age 31 weeks, range 26-36 weeks with...

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Veröffentlicht in:Neuroradiology 2003-10, Vol.45 (10), p.730-734
Hauptverfasser: ARGYROPOULOU, M. I, XYDIS, V, DROUGIA, A, ARGYROPOULOU, P. I, TZOUFI, M, BASSOUNAS, A, ANDRONIKOU, S, EFREMIDIS, S. C
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container_end_page 734
container_issue 10
container_start_page 730
container_title Neuroradiology
container_volume 45
creator ARGYROPOULOU, M. I
XYDIS, V
DROUGIA, A
ARGYROPOULOU, P. I
TZOUFI, M
BASSOUNAS, A
ANDRONIKOU, S
EFREMIDIS, S. C
description Our purpose was to measure the size of the pons and cerebellum in preterm babies with periventricular leukomalacia (PVL), and to study their relationship with the severity of PVL and with perinatal risk factors. We examined 33 premature children, mean gestational age 31 weeks, range 26-36 weeks with PVL on MRI, and 27 full-term controls. On MRI at 0.4-5.5 years (mean 1.4 years) we measured the area of the corpus callosum and vermis, the anteroposterior diameter of the pons and the volume of the cerebellum. The area of the corpus callosum was used as a marker of white matter loss and PVL severity. All regional brain measurements except that of the vermis were significantly lower in patients than controls: corpus callosum (mm(2)): 239.6+/-92.5 vs 434.8+/-126.8, P
doi_str_mv 10.1007/s00234-003-1067-0
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I ; XYDIS, V ; DROUGIA, A ; ARGYROPOULOU, P. I ; TZOUFI, M ; BASSOUNAS, A ; ANDRONIKOU, S ; EFREMIDIS, S. C</creator><creatorcontrib>ARGYROPOULOU, M. I ; XYDIS, V ; DROUGIA, A ; ARGYROPOULOU, P. I ; TZOUFI, M ; BASSOUNAS, A ; ANDRONIKOU, S ; EFREMIDIS, S. C</creatorcontrib><description><![CDATA[Our purpose was to measure the size of the pons and cerebellum in preterm babies with periventricular leukomalacia (PVL), and to study their relationship with the severity of PVL and with perinatal risk factors. We examined 33 premature children, mean gestational age 31 weeks, range 26-36 weeks with PVL on MRI, and 27 full-term controls. On MRI at 0.4-5.5 years (mean 1.4 years) we measured the area of the corpus callosum and vermis, the anteroposterior diameter of the pons and the volume of the cerebellum. The area of the corpus callosum was used as a marker of white matter loss and PVL severity. All regional brain measurements except that of the vermis were significantly lower in patients than controls: corpus callosum (mm(2)): 239.6+/-92.5 vs 434.8+/-126.8, P <0.01; pons (mm): 14.8+/-3.0 vs 17.9+/-1.4, P <0.01]; cerebellum (cm(3)): 68.2+/-31.6 vs 100.6+/-28.3, P <0.01; vermis (mm(2)): 808.1+/-292.2 vs 942.2+/-246.2, NS. Significant reduction in the area of the vermis: 411.3+/-203.3 vs 935+/-252.6 mm(2); cerebellar volume: 16.3+/-12.5 vs 96.6+/-20.2 mm(3); and the diameter of the pons: 10.1+/-2.2 vs 17.5+/-1.3 mm ( P<0.01) were observed in seven children with gestational age < or =28 weeks, severe hypotension and large patent ductus arteriosus (PDA). There was a significant correlation between the duration of mechanical ventilation and the size of the vermis, pons and cerebellum (R=-0.65, -0.57 and -0.73, respectively, P <0.01).]]></description><identifier>ISSN: 0028-3940</identifier><identifier>EISSN: 1432-1920</identifier><identifier>DOI: 10.1007/s00234-003-1067-0</identifier><identifier>PMID: 12942217</identifier><identifier>CODEN: NRDYAB</identifier><language>eng</language><publisher>Berlin: Springer</publisher><subject>Biological and medical sciences ; Case-Control Studies ; Cerebellum - pathology ; Female ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Leukomalacia, Periventricular - diagnosis ; Leukomalacia, Periventricular - etiology ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Neurology ; Pons - pathology ; Risk Factors ; Severity of Illness Index ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Neuroradiology, 2003-10, Vol.45 (10), p.730-734</ispartof><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c327t-46d2333bd7502d0ea8f6946bb0fafa320906fbdb6e28f2267f931269f142fc243</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=15230759$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12942217$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ARGYROPOULOU, M. I</creatorcontrib><creatorcontrib>XYDIS, V</creatorcontrib><creatorcontrib>DROUGIA, A</creatorcontrib><creatorcontrib>ARGYROPOULOU, P. I</creatorcontrib><creatorcontrib>TZOUFI, M</creatorcontrib><creatorcontrib>BASSOUNAS, A</creatorcontrib><creatorcontrib>ANDRONIKOU, S</creatorcontrib><creatorcontrib>EFREMIDIS, S. C</creatorcontrib><title>MRI measurements of the pons and cerebellum in children born preterm; associations with the severity of periventricular leukomalacia and perinatal risk factors</title><title>Neuroradiology</title><addtitle>Neuroradiology</addtitle><description><![CDATA[Our purpose was to measure the size of the pons and cerebellum in preterm babies with periventricular leukomalacia (PVL), and to study their relationship with the severity of PVL and with perinatal risk factors. We examined 33 premature children, mean gestational age 31 weeks, range 26-36 weeks with PVL on MRI, and 27 full-term controls. On MRI at 0.4-5.5 years (mean 1.4 years) we measured the area of the corpus callosum and vermis, the anteroposterior diameter of the pons and the volume of the cerebellum. The area of the corpus callosum was used as a marker of white matter loss and PVL severity. All regional brain measurements except that of the vermis were significantly lower in patients than controls: corpus callosum (mm(2)): 239.6+/-92.5 vs 434.8+/-126.8, P <0.01; pons (mm): 14.8+/-3.0 vs 17.9+/-1.4, P <0.01]; cerebellum (cm(3)): 68.2+/-31.6 vs 100.6+/-28.3, P <0.01; vermis (mm(2)): 808.1+/-292.2 vs 942.2+/-246.2, NS. Significant reduction in the area of the vermis: 411.3+/-203.3 vs 935+/-252.6 mm(2); cerebellar volume: 16.3+/-12.5 vs 96.6+/-20.2 mm(3); and the diameter of the pons: 10.1+/-2.2 vs 17.5+/-1.3 mm ( P<0.01) were observed in seven children with gestational age < or =28 weeks, severe hypotension and large patent ductus arteriosus (PDA). There was a significant correlation between the duration of mechanical ventilation and the size of the vermis, pons and cerebellum (R=-0.65, -0.57 and -0.73, respectively, P <0.01).]]></description><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Cerebellum - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Leukomalacia, Periventricular - diagnosis</subject><subject>Leukomalacia, Periventricular - etiology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurology</subject><subject>Pons - pathology</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0028-3940</issn><issn>1432-1920</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc1u1TAQhS0EopfCA7BB3sAuZWznxolYoarQSkVICNbRxBnrmuYPj1PUp-FVcXqv1NWMNN85o5kjxFsFFwrAfmQAbcoCwBQKKlvAM7FTpdGFajQ8F7s8rgvTlHAmXjH_hgxaY1-KM6WbUmtld-Lftx83ciTkNdJIU2I5e5kOJJd5YolTLx1F6mgY1lGGSbpDGPpIk-zmOMklUqI4fpLIPLuAKWyqvyEdHj2Y7imG9LB5Lrm7zwticOuAUQ603s0jDphlj3s2YMKEg4yB76RHl-bIr8ULjwPTm1M9F7--XP28vC5uv3-9ufx8WzijbSrKqtfGmK63e9A9ENa-asqq68CjR6Ohgcp3fVeRrr3WlfWNUbpqvCq1d7o05-LD0XeJ85-VOLVjYJfPxonmlVurdF03qs6gOoIuzsyRfLvEMGJ8aBW0WyrtMZU2P7vdUmkha96dzNdupP5JcYohA-9PALLDwUecXOAnbq8N2H1j_gNyCJh_</recordid><startdate>20031001</startdate><enddate>20031001</enddate><creator>ARGYROPOULOU, M. 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I</creatorcontrib><creatorcontrib>XYDIS, V</creatorcontrib><creatorcontrib>DROUGIA, A</creatorcontrib><creatorcontrib>ARGYROPOULOU, P. I</creatorcontrib><creatorcontrib>TZOUFI, M</creatorcontrib><creatorcontrib>BASSOUNAS, A</creatorcontrib><creatorcontrib>ANDRONIKOU, S</creatorcontrib><creatorcontrib>EFREMIDIS, S. C</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>Neuroradiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ARGYROPOULOU, M. I</au><au>XYDIS, V</au><au>DROUGIA, A</au><au>ARGYROPOULOU, P. I</au><au>TZOUFI, M</au><au>BASSOUNAS, A</au><au>ANDRONIKOU, S</au><au>EFREMIDIS, S. C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MRI measurements of the pons and cerebellum in children born preterm; associations with the severity of periventricular leukomalacia and perinatal risk factors</atitle><jtitle>Neuroradiology</jtitle><addtitle>Neuroradiology</addtitle><date>2003-10-01</date><risdate>2003</risdate><volume>45</volume><issue>10</issue><spage>730</spage><epage>734</epage><pages>730-734</pages><issn>0028-3940</issn><eissn>1432-1920</eissn><coden>NRDYAB</coden><abstract><![CDATA[Our purpose was to measure the size of the pons and cerebellum in preterm babies with periventricular leukomalacia (PVL), and to study their relationship with the severity of PVL and with perinatal risk factors. We examined 33 premature children, mean gestational age 31 weeks, range 26-36 weeks with PVL on MRI, and 27 full-term controls. On MRI at 0.4-5.5 years (mean 1.4 years) we measured the area of the corpus callosum and vermis, the anteroposterior diameter of the pons and the volume of the cerebellum. The area of the corpus callosum was used as a marker of white matter loss and PVL severity. All regional brain measurements except that of the vermis were significantly lower in patients than controls: corpus callosum (mm(2)): 239.6+/-92.5 vs 434.8+/-126.8, P <0.01; pons (mm): 14.8+/-3.0 vs 17.9+/-1.4, P <0.01]; cerebellum (cm(3)): 68.2+/-31.6 vs 100.6+/-28.3, P <0.01; vermis (mm(2)): 808.1+/-292.2 vs 942.2+/-246.2, NS. Significant reduction in the area of the vermis: 411.3+/-203.3 vs 935+/-252.6 mm(2); cerebellar volume: 16.3+/-12.5 vs 96.6+/-20.2 mm(3); and the diameter of the pons: 10.1+/-2.2 vs 17.5+/-1.3 mm ( P<0.01) were observed in seven children with gestational age < or =28 weeks, severe hypotension and large patent ductus arteriosus (PDA). There was a significant correlation between the duration of mechanical ventilation and the size of the vermis, pons and cerebellum (R=-0.65, -0.57 and -0.73, respectively, P <0.01).]]></abstract><cop>Berlin</cop><pub>Springer</pub><pmid>12942217</pmid><doi>10.1007/s00234-003-1067-0</doi><tpages>5</tpages></addata></record>
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subjects Biological and medical sciences
Case-Control Studies
Cerebellum - pathology
Female
Humans
Infant
Infant, Newborn
Infant, Premature
Leukomalacia, Periventricular - diagnosis
Leukomalacia, Periventricular - etiology
Magnetic Resonance Imaging
Male
Medical sciences
Neurology
Pons - pathology
Risk Factors
Severity of Illness Index
Vascular diseases and vascular malformations of the nervous system
title MRI measurements of the pons and cerebellum in children born preterm; associations with the severity of periventricular leukomalacia and perinatal risk factors
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