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Title:
Early pattern recognition in severe perinatal asphyxia: a prospective MRI study | Neuroradiology
Description:
On the basis of MRI examination in 88 neonates and infants with perinatal asphyxia, we defined 6 different patterns on T2-weighted images: pattern A-scattered hyperintensity of both hemispheres of the telencephalon with blurred border zones between cortex and white matter, indicating diffuse brain injury; pattern B-parasagittal hyperintensity extending into the corona radiata, corresponding to the watershed zones; pattern C-hyper-and hypointense lesions in thalamus and basal ganglia, which relate to haemorrhagic necrosis or iron deposition in these areas; pattern D-periventricular hyperintensity, mainly along the lateral ventricles, i.e. periventricular leukomalacia (PVL), originating from the matrix zone; pattern E-small multifocal lesions varying from hyper-to hypointense, interpreted as necrosis and haemorrhage; pattern F-periventricular centrifugal hypointense stripes in the centrum semiovale and deep white matter of the frontal and occipital lobes. Contrast was effectively inverted on T1-weighted images. Patterns A, B and C were found in 17%, 25% and 37% of patients, and patterns D, E and F in 19%, 17% and 35%, respectively. In 49 patients a combination of patterns was observed, but 30% of the initial images were normal. At follow-up, persistent abnormalities were seen in all children with patterns A and D, but in only 52% of those with pattern C. Myelination was retarded most often in patient with diffuse brain injury and PVL (patterns A and D).
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Keywords {🔍}
google, scholar, pattern, imaging, neonatal, article, brain, encephalopathy, magnetic, resonance, asphyxia, martin, patterns, perinatal, neonates, periventricular, hypoxicischemic, privacy, cookies, content, neuroradiology, boltshauser, hyperintensity, child, neurol, publish, search, severe, prospective, mri, steinlin, infants, injury, lesions, leukomalacia, children, access, term, chapter, neurology, dis, radiology, damage, ajnr, boesch, data, information, log, journal, research,
Topics {✒️}
early pattern recognition pattern a-scattered hyperintensity pattern d-periventricular hyperintensity high-field-strength mr imaging month download article/chapter hypoxic-ischemic brain injury hypoxic-ischemic brain damage central nervous system hypoxic–ischemic encephalopathy hypoxic-ischemic encephalopathy pattern c-hyper magnetic resonance imaging birth asphyxia asphyxiated full-term neonates anoxic-ischemic encephalopathy privacy choices/manage cookies magnetic resonance functions related subjects prospective mri study article neuroradiology aims full article pdf reticular formation diffuse brain injury severe perinatal asphyxia developmentally handicapped children serial mr imaging periventricular hyperintensity detected neonatal cerebral injury human neonatal period neonatal ct scans neonatal neurological signs european economic area scope submit manuscript harwood-nash dc computed tomographic diagnosis symmetrical thalamic degeneration antenatal neuronal loss symmetrical thalamic lesion saint-louis la asphyxiated term babies t2-weighted images t1-weighted images blurred border zones short-term prognosis magnetic resonance 100 high-risk neonates perinatal brain damage accepting optional cookies deep white matter check access
Questions {❓}
- Nelson KB, Leviton A (1991) How much of neonatal encephalopathy is due to birth asphyxia?
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headline:Early pattern recognition in severe perinatal asphyxia: a prospective MRI study
description:On the basis of MRI examination in 88 neonates and infants with perinatal asphyxia, we defined 6 different patterns on T2-weighted images: pattern A-scattered hyperintensity of both hemispheres of the telencephalon with blurred border zones between cortex and white matter, indicating diffuse brain injury; pattern B-parasagittal hyperintensity extending into the corona radiata, corresponding to the watershed zones; pattern C-hyper-and hypointense lesions in thalamus and basal ganglia, which relate to haemorrhagic necrosis or iron deposition in these areas; pattern D-periventricular hyperintensity, mainly along the lateral ventricles, i.e. periventricular leukomalacia (PVL), originating from the matrix zone; pattern E-small multifocal lesions varying from hyper-to hypointense, interpreted as necrosis and haemorrhage; pattern F-periventricular centrifugal hypointense stripes in the centrum semiovale and deep white matter of the frontal and occipital lobes. Contrast was effectively inverted on T1-weighted images. Patterns A, B and C were found in 17%, 25% and 37% of patients, and patterns D, E and F in 19%, 17% and 35%, respectively. In 49 patients a combination of patterns was observed, but 30% of the initial images were normal. At follow-up, persistent abnormalities were seen in all children with patterns A and D, but in only 52% of those with pattern C. Myelination was retarded most often in patient with diffuse brain injury and PVL (patterns A and D).
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Birth asphyxia
Children
Magnetic resonance imaging
Hypoxic ischaemic encephalopathy
Neuroradiology
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Neurology
Neurosurgery
Neurosciences
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description:On the basis of MRI examination in 88 neonates and infants with perinatal asphyxia, we defined 6 different patterns on T2-weighted images: pattern A-scattered hyperintensity of both hemispheres of the telencephalon with blurred border zones between cortex and white matter, indicating diffuse brain injury; pattern B-parasagittal hyperintensity extending into the corona radiata, corresponding to the watershed zones; pattern C-hyper-and hypointense lesions in thalamus and basal ganglia, which relate to haemorrhagic necrosis or iron deposition in these areas; pattern D-periventricular hyperintensity, mainly along the lateral ventricles, i.e. periventricular leukomalacia (PVL), originating from the matrix zone; pattern E-small multifocal lesions varying from hyper-to hypointense, interpreted as necrosis and haemorrhage; pattern F-periventricular centrifugal hypointense stripes in the centrum semiovale and deep white matter of the frontal and occipital lobes. Contrast was effectively inverted on T1-weighted images. Patterns A, B and C were found in 17%, 25% and 37% of patients, and patterns D, E and F in 19%, 17% and 35%, respectively. In 49 patients a combination of patterns was observed, but 30% of the initial images were normal. At follow-up, persistent abnormalities were seen in all children with patterns A and D, but in only 52% of those with pattern C. Myelination was retarded most often in patient with diffuse brain injury and PVL (patterns A and D).
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Magnetic resonance imaging
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Neurosurgery
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