지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 32 - 39 (8page)
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초록· 키워드
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Purpose: To investigate the relationship between brain injury patterns on magnetic resonance imaging (MRI) and neurodevelopmental outcomes in neonates with postasphyxial hypoxic ischemic encephalopathy (HIE).
Methods: Clinical characteristics and brain MRI findings of 49 term neonates with postasphyxial HIE were retrospectively reviewed. Brain injury patterns in MRI were classified into five categories, along with evaluation of the posterior limb of internal capsule (PLIC). Neurodevelopmental outcomes were assessed by neurological examination combined with the Bayley Scales of Infant Development II between 1 and 2 years of age.
Results: Twenty-three neonates (46.9%) showed abnormal brain MRI finding associated with poor neurodevelopmental outcomes (odds ratio 9.7, 95% confidence interval 1.4, 67.4, P=0.022). The following injury patterns were seen in MRI: abnormality in the basal ganglia-thalamus (BGT) in 4 neonates (17.4%), watershed predominant (WP) pattern in 5 (21.7%), extensive global injury (EGI) in 3 (13.0%), lesions restricted to periventricular white matter (LPWM) in 4 (17.4%), and perinatal arterial ischemic stroke (PAIS) in 2 (8.7%). Additionally, 6 neonate (26.1%) showed lesion in the PLIC. Neonate with BGT and EGI injury patterns showed worse neurodevelopmental outcomes than those with WP and LPWM patterns (P<0.05). Neonate with PLIC lesion also showed poor outcomes (100%).
Conclusion: Abnormal brain MRI findings in neonates with postasphyxial HIE were associated with the poor neurodevelopmental outcomes. BGT, EGI and PLIC patterns of injury are expected to have worse outcomes than white matter predominant injury patterns such as those in the WP and LPWM.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Badr Zahr LK / 2006 / Brain injury in the infant: the old, the new, and the uncertain / J Perinat Neonatal Nurs 20 : 163 ~ 175
Barkovich AJ / 1995 / Perinatal asphyxia: MR findings in the first 10 days / AJNR Am J Neuroradiol 16 : 427 ~ 438
Barkovich AJ / 1998 / Prediction of neuromotor outcome in perinatal asphyxia: evaluation of MR scoring systems / AJNR Am J Neuroradiol 19 : 143 ~ 149
Duran R / 2008 / The impact of Neonatal Resuscitation Program courses on mortality and morbidity of newborn infants with perinatal asphyxia / Brain Dev 30 : 43 ~ 46
Graham EM / 2008 / A systematic review of the role of intrapartum hypoxia-ischemia in the causation of neonatal encephalopathy / Am J Obstet Gynecol 199 : 587 ~ 595
Barkovich AJ / 1995 / Perinatal asphyxia: MR findings in the first 10 days / AJNR Am J Neuroradiol 16 : 427 ~ 438
Barkovich AJ / 1998 / Prediction of neuromotor outcome in perinatal asphyxia: evaluation of MR scoring systems / AJNR Am J Neuroradiol 19 : 143 ~ 149
Duran R / 2008 / The impact of Neonatal Resuscitation Program courses on mortality and morbidity of newborn infants with perinatal asphyxia / Brain Dev 30 : 43 ~ 46
Graham EM / 2008 / A systematic review of the role of intrapartum hypoxia-ischemia in the causation of neonatal encephalopathy / Am J Obstet Gynecol 199 : 587 ~ 595
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