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Cited by 194Neonatal and fetal brain pathologyAdvanced MRI Techniques and ApplicationsFetal and Pediatric Neurological Disorders

The DOI matches its Crossref record.

Prediction of Outcome in New-Born Infants with Arterial Ischaemic Stroke Using Diffusion-Weighted Magnetic Resonance Imaging

De Vries, L. S., Van der Grond, J., Van Haastert, I. C., Groenendaal, F.·2005·Neuropediatrics
DOI 10.1055/s-2005-837544
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Abstract

OBJECTIVE: The aim of this study was to assess the additional value of diffusion-weighted magnetic resonance imaging (DW-MRI) compared to conventional magnetic resonance imaging (MRI) in new-born infants with arterial ischaemic stroke, with regard to the prediction of neurodevelopmental outcome. METHODS: Neonatal DW-MRI data were available in 15 infants with a gestational age of > or = 35 weeks and repeat MRI data were obtained in 12 of the 14 survivors. T(1)- and T(2)-weighted transverse images were obtained as well as 4-mm DWI slices. ADC maps were calculated in manually selected regions on the basis of the DWI scans. All 14 survivors were seen in the follow-up clinic and 12 were > 18 months when last seen. RESULTS: T (2) hyperintensity was detected in the descending white matter tracts at the level of the internal capsule in 7 infants and in only one of these also at the level of the cerebral peduncles. Increased signal intensity (SI) was seen on DW-MRI in 8 infants in the descending white matter tract ipsilateral to the territorial infarct at the level of the internal capsule and in 5 of these also at the level of the cerebral peduncles. ADC maps were available in 12 infants. ADC values were calculated at the level of the cerebral peduncles, using the contralateral side as a reference value. A significantly reduced value was found in 3 of the 5 infants who showed an increased SI on DW-MRI. ADC maps were not available in the other two. Five of the seven infants with abnormalities on DW-MRI/ADC of the corticospinal tracts developed a mild to moderate hemiplegia, one showed an asymmetry of tone and one with only involvement of the anterior part of the internal capsule was normal at follow-up. Wallerian degeneration, seen at the level of the cerebral peduncles and/or the PLIC on the repeat MRI, was seen in the 5 infants who had shown acute changes of the corticospinal tracts in the neonatal period and who went on to develop motor sequelae. CONCLUSIONS: Compared to MRI, DW-MRI and ADC maps provided additional, quantitative data of acute corticospinal tract injury at an early time point after the insult, especially at the level of the cerebral peduncles. The presence of increased SI on DW-MRI at the level of the PLIC and the cerebral peduncles in new-born infants with arterial ischaemic stroke is followed by Wallerian degeneration and subsequent development of hemiplegia.

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Metadata

Authors
De Vries, L. S., Van der Grond, J., Van Haastert, I. C., & Groenendaal, F.
Affiliations
University Medical Center Utrecht (NL)
ORCID
Groenendaal, F.
Venue
Neuropediatrics
Publisher
Georg Thieme Verlag KG
Published
2005-02
Volume
36
Issue
1
Pages
12-20
ISSN
  • 0174-304X (ISSN-L)
  • 1439-1899
DOI
10.1055/s-2005-837544
OpenAlex
W1992914115
Cited by
193
References
0
Citations by year
2026: 3 · 2025: 9 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 9 · 2020: 3 · 2019: 15 · 2018: 6 · 2017: 12 · 2016: 10 · 2015: 12 · 2014: 6 · 2013: 13 · 2012: 12
FWCI
11.74
Type
journal article
Language
de
Open access
closed
Locations
  • Neuropediatrics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Fetal and Pediatric Neurological Disorders
Keywords
diffusion-weighted imaging, apparent diffusion coefficient, corticospinal tract injury, cerebral peduncle, internal capsule, periventricular leukoencephalopathy, Wallerian degeneration, neurodevelopmental outcomes, hemiplegia, motor sequelae, prognosis, white matter injury, gestational age, T2 hyperintensity
MeSH terms
Brain Mapping, Cerebral Infarction, Brain Ischemia, Female, Follow-Up Studies, Humans, Image Processing, Computer-Assisted, Infant, Newborn, Magnetic Resonance Imaging, Male, Neurologic Examination, Predictive Value of Tests, Retrospective Studies, Weights and Measures, Middle Cerebral Artery, Diffusion Magnetic Resonance Imaging

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