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Magnetic resonance imaging of white matter diseases of prematurity
Abstract
Periventricular leucomalacia (PVL) and parenchymal venous infarction complicating germinal matrix/intraventricular haemorrhage have long been recognised as the two significant white matter diseases responsible for the majority of cases of cerebral palsy in survivors of preterm birth. However, more recent studies using magnetic resonance imaging to assess the preterm brain have documented two new appearances, adding to the spectrum of white matter disease of prematurity: punctate white matter lesions, and diffuse excessive high signal intensity (DEHSI). These appear to be more common than PVL but less significant in terms of their impact on individual neurodevelopment. They may, however, be associated with later cognitive and behavioural disorders known to be common following preterm birth. It remains unclear whether PVL, punctate lesions, and DEHSI represent a continuum of disorders occurring as a result of a similar injurious process to the developing white matter. This review discusses the role of MR imaging in investigating these three disorders in terms of aetiology, pathology, and outcome.
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“WMI is associated with poor neurodevelopmental outcome in neonates born preterm; 12”
From Perioperative neonatal brain injury is associated with worse school-age neurodevelopment in children with critical congenital heart disease (2018) · cites this paper as [12]
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Metadata
- Authors
- Rutherford, M. A., Supramaniam, V., Ederies, A., Chew, A., Bassi, L., Groppo, M., Anjari, M., Counsell, S., & Ramenghi, L. A.
- Affiliations
- Hammersmith Hospital (GB)
- University of Milan (IT)
- Corresponding author
- Rutherford, Mary A.
- Venue
- Neuroradiology
- Published
- 2010-04-27
- Volume
- 52
- Issue
- 6
- Pages
- 505-521
- ISSN
- 0028-3940 (ISSN-L)
- 1432-1920
- OpenAlex
- W2068318662
- Cited by
- 167
- References
- 31
- Citations by year
- 2026: 1 · 2025: 13 · 2024: 4 · 2023: 9 · 2022: 11 · 2021: 9 · 2020: 8 · 2019: 8 · 2018: 10 · 2017: 13 · 2016: 10 · 2015: 16 · 2014: 11 · 2013: 12 · 2012: 17
- FWCI
- 12.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Neuroradiology (publishedVersion)
- PubMed (publishedVersion)
- CINECA IRIS Institutial Research Information System (University of Genoa) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Action Medical Research
- Medical Research Council
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Fetal and Pediatric Neurological Disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- white matter disease, preterm birth, periventricular leukomalacia, germinal matrix hemorrhage, intraventricular hemorrhage, punctate white matter lesions, cerebral palsy, preterm brain, neurodevelopmental outcomes
- MeSH terms
- Brain, Demyelinating Diseases, Female, Humans, Infant, Newborn, Infant, Premature, Male, Nerve Fibers, Myelinated
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