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Vol. 19 No. 4, April 2008
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AAP Grand Rounds 19:44-45 (2008)
© 2008 American Academy of Pediatrics

NEUROLOGY

Developmental Outcome of Very Preterm Infants Correlates with Grey and White Matter Abnormalities

Source: Nosarti C, Giouroukou E, Healy E, et al. Grey and white matter distribution in very preterm adolescents mediates neurodevelopmental outcome. Brain. 2008;131:205–217; doi:10.1093/brain/awm282[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.


PICO

Question: Among adolescents born very preterm, do white and grey matter changes seen on MRI in adolescence correlate with neonatal imaging studies and predict developmental outcome?

Question type: Prognosis

Study design: Retrospective

 

Because preterm infants often experience cognitive difficulties through adolescence,1 investigators from King’s College, London, sought to determine if adolescents who were born very preterm (VPT) would show diffuse white matter (WM) and grey matter (GM) abnormalities, especially in the prefrontal and temporal cortices. Such abnormalities could be a possible explanation for the cognitive deficits observed in VPT populations.

MRI data of brains of 218 adolescents (ages 14–15 years) who were born at <33 weeks gestation (VPT) and 128 controls born at term were compared using voxel-based morphometry, and the findings correlated with neurodevelopmental outcomes. Voxel-based morphometry is a neuroimaging analysis technique applied to structural MRI imaging that allows for calculation of focal brain volumes.

VPT study participants had been born at a mean gestational age of 29 weeks and had a mean birth weight of 1,276 grams; . . . [Full Text of this Article]

J. Gordon Millichap, MD, FAAP
Neurology, Children’s Memorial Hospital, Northwestern University Medical School, Chicago, IL

 






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