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Olsen, JE; Brown, NC; Eeles, AL; Einspieler, C; Lee, KJ; Thompson, DK; Anderson, PJ; Cheong, JL; Doyle, LW; Spittle, AJ.
Early general movements and brain magnetic resonance imaging at term-equivalent age in infants born <30weeks' gestation.
Early Hum Dev. 2016; 101(39):63-68 Doi: 10.1016/j.earlhumdev.2016.06.009
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Co-Autor*innen der Med Uni Graz
Einspieler Christa
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Abstract:
Neurodevelopmental assessments and brain magnetic resonance imaging (MRI) at term-equivalent age (TEA) predict developmental outcomes in preterm infants. However, the relationship between neurodevelopment prior to term and cerebral structure is currently unknown. To examine the relationships between General Movements (GMs) assessed from birth to TEA and brain MRI at TEA in infants born <30weeks' gestation. Prospective cohort study. GMs (categorised as 'normal' or 'abnormal') were recorded weekly from birth to 32weeks, and at 34 and 36weeks' postmenstrual age. At TEA, GMs were assessed concurrently with brain MRI (using a validated scoring system). 149 infants born <30weeks' gestation were recruited from a tertiary hospital. 103 infants had MRI at TEA and GMs recorded. Abnormal GMs prior to term were associated with cortical grey matter abnormality (p<0.03), deep grey matter abnormality (p=0.02) and increased interhemispheric distance (p<0.02). Abnormal GMs at TEA (n=55/90) were associated with more global brain abnormality (p<0.01) and cortical grey matter abnormality (p=0.01), and decreased transcerebellar diameter (p=0.04) on concurrent brain MRI. Abnormal GMs both prior to term and at TEA were associated with more marked brain abnormality, and smaller brains at TEA. Abnormal GMs are an early marker of brain abnormalities in very preterm infants. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Brain - diagnostic imaging
Case-Control Studies -
Developmental Disabilities - diagnosis
Developmental Disabilities - diagnostic imaging
Female -
Humans -
Infant, Newborn -
Infant, Premature - growth & development
Infant, Premature - physiology
Magnetic Resonance Imaging -
Male -
Movement -

Find related publications in this database (Keywords)
General movements
Magnetic resonance imaging
Preterm infant
Neurodevelopmental assessment
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