Hypoxic Ischaemic Encephalopathy: Early Magnetic Resonance Imaging Findings and Their Evolution

Abstract Eighteen term infants with hypoxic ischaemic encephalopathy (HIE) were studied with serial magnetic resonance imaging of the brain for up to two months following birth. Important early findings included brain swelling, cortical highlighting, diffuse loss of grey/white differentiation and lo...

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Veröffentlicht in:Neuropediatrics 1995-08, Vol.26 (4), p.183-191
Hauptverfasser: Rutherford, M. A., Pennock, J. M., Schwieso, J. E., Cowan, F. M., Dubowitz, L. M.
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container_end_page 191
container_issue 4
container_start_page 183
container_title Neuropediatrics
container_volume 26
creator Rutherford, M. A.
Pennock, J. M.
Schwieso, J. E.
Cowan, F. M.
Dubowitz, L. M.
description Abstract Eighteen term infants with hypoxic ischaemic encephalopathy (HIE) were studied with serial magnetic resonance imaging of the brain for up to two months following birth. Important early findings included brain swelling, cortical highlighting, diffuse loss of grey/white differentiation and loss of signal in the posterior limb of the internal capsule (PLIC). These signs were easier to identify on T 1 -weighted spin echo or inversion recovery sequences than on T 2- weighted spin echo sequences. Brain swelling was only seen in the first seven days and was present in all grades of HIE. All other signs persisted and were associated with the subsequent development of major structural changes in the brain. The exact pattern of injury was best identified after the first week of life once the signs of brain swelling had cleared.
doi_str_mv 10.1055/s-2007-979751
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subjects Asphyxia Neonatorum - etiology
Asphyxia Neonatorum - physiopathology
Basal Ganglia - physiopathology
Biological and medical sciences
Brain Ischemia - complications
Brain Ischemia - physiopathology
Cerebral Ventricles - abnormalities
Frontal Lobe - physiopathology
Hippocampus - physiopathology
Humans
Hypoxia - complications
Hypoxia - physiopathology
Infant, Newborn
Magnetic Resonance Imaging
Medical sciences
Neurology
Occipital Lobe - physiopathology
Original articles
Severity of Illness Index
Thalamus - physiopathology
Vascular diseases and vascular malformations of the nervous system
title Hypoxic Ischaemic Encephalopathy: Early Magnetic Resonance Imaging Findings and Their Evolution
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