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Role of MRI in term newborn hypoxic-ischemic encephalopathy: correlation with motor outcome

Abstract

Abstract Objectives: To correlate the site and severity of brain lesions seen on magnetic resonance imaging (MRI) with the general movements, Hammersmith scoring and motor outcome in term new-borns with ipoxic-ischemic encephalopathy. Materials and methods: in the period between April 2009 and February of 2012 we studied whit MR imaging twenty-three term neonates (14M e 9F) with diagnosis of encephalopathy according to the criteria of Sarnat and Sarnat. Brain MR scan has been performed within the first 3 postnatal weeks and scored in 5 patterns of injury based on a modified classification system of Okereafor et al. General movements as at both 1 and 3 postnatal months, Hammersmith scoring as at 1week, 1 and 3 postnatal months have been evaluated. Motor outcome was assessed as at 6 both and 12 months. Conclusion: in term infants with HIE, the site and severity of brain lesions seen on early MRI are correlated with general movements, Hammersmith scoring and motor outcome

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