Neonatal Brain MRI and Motor Outcome at School Age in Children with Neonatal Encephalopathy: A Review of Personal Experience

The aim of this paper is to review (i) the spectrum of neuromotor function at school age in children who had been born full-term and presented with neonatal encephalopathy (NE) and low Apgar scores and (ii) the relation between the presence/absence of such difficulties and neonatal brain MRI. Motor...

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Main Authors: Eugenio Mercuri, Anna L. Barnett
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Neural Plasticity
Online Access:http://dx.doi.org/10.1155/NP.2003.51
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author Eugenio Mercuri
Anna L. Barnett
author_facet Eugenio Mercuri
Anna L. Barnett
author_sort Eugenio Mercuri
collection DOAJ
description The aim of this paper is to review (i) the spectrum of neuromotor function at school age in children who had been born full-term and presented with neonatal encephalopathy (NE) and low Apgar scores and (ii) the relation between the presence/absence of such difficulties and neonatal brain MRI. Motor outcome appears to be mainly related to the severity of basal ganglia and internal capsule involvement. Severe basal ganglia lesions were always associated with the most severe outcome, microcephaly, tetraplegia, and severe global delay, whereas more discrete basal ganglia lesions were associated with athetoid cerebral palsy, with normal cognitive development or minor neuro-motor abnormalities. White matter lesions were associated with abnormal motor outcome only if the internal capsule was involved. Children with moderate white matter changes but normal internal capsule, had normal motor outcome at school age.
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spelling doaj-art-1c75e5a3a82648e390bf9a6fefae92142025-02-03T01:03:26ZengWileyNeural Plasticity2090-59041687-54432003-01-01101-2515710.1155/NP.2003.51Neonatal Brain MRI and Motor Outcome at School Age in Children with Neonatal Encephalopathy: A Review of Personal ExperienceEugenio Mercuri0Anna L. Barnett1Department of Paediatrics, Imperial College, Hammersmith Hospital, Du Cane Road, Hammersmith Campus, London, United KingdomDepartment of Paediatrics, Imperial College, Hammersmith Hospital, Du Cane Road, Hammersmith Campus, London, United KingdomThe aim of this paper is to review (i) the spectrum of neuromotor function at school age in children who had been born full-term and presented with neonatal encephalopathy (NE) and low Apgar scores and (ii) the relation between the presence/absence of such difficulties and neonatal brain MRI. Motor outcome appears to be mainly related to the severity of basal ganglia and internal capsule involvement. Severe basal ganglia lesions were always associated with the most severe outcome, microcephaly, tetraplegia, and severe global delay, whereas more discrete basal ganglia lesions were associated with athetoid cerebral palsy, with normal cognitive development or minor neuro-motor abnormalities. White matter lesions were associated with abnormal motor outcome only if the internal capsule was involved. Children with moderate white matter changes but normal internal capsule, had normal motor outcome at school age.http://dx.doi.org/10.1155/NP.2003.51
spellingShingle Eugenio Mercuri
Anna L. Barnett
Neonatal Brain MRI and Motor Outcome at School Age in Children with Neonatal Encephalopathy: A Review of Personal Experience
Neural Plasticity
title Neonatal Brain MRI and Motor Outcome at School Age in Children with Neonatal Encephalopathy: A Review of Personal Experience
title_full Neonatal Brain MRI and Motor Outcome at School Age in Children with Neonatal Encephalopathy: A Review of Personal Experience
title_fullStr Neonatal Brain MRI and Motor Outcome at School Age in Children with Neonatal Encephalopathy: A Review of Personal Experience
title_full_unstemmed Neonatal Brain MRI and Motor Outcome at School Age in Children with Neonatal Encephalopathy: A Review of Personal Experience
title_short Neonatal Brain MRI and Motor Outcome at School Age in Children with Neonatal Encephalopathy: A Review of Personal Experience
title_sort neonatal brain mri and motor outcome at school age in children with neonatal encephalopathy a review of personal experience
url http://dx.doi.org/10.1155/NP.2003.51
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