Cerebellar development in the preterm neonate: effect of supratentorial brain injury.

Abstract:

:Cerebellar injury has been increasingly recognized as a complication of preterm birth, with decreased cerebellar volumes seen on follow-up neuroimaging. A cohort of 38 preterm newborns, including 14 with two scans, was studied with MRI, including single-shot fast spin-echo diffusion tensor imaging (DTI) sequence specifically to assess the posterior fossa. Early changes in the cerebellum [apparent diffusion coefficient (ADC) and fractional anisotropy (FA)] were assessed and correlated with supratentorial manifestations of injury [intraventricular hemorrhage (IVH) or white matter injury (WMI)]. ADC decreased and FA increased with increasing gestational age in both cerebellar gray and white matter. Severe IVH was associated with increased ADC in the middle cerebellar peduncles and hila of the cerebellar nuclei, decreased ADC in the cerebellar cortex, and decreased FA in all three regions. Changes with WMI were not consistent. Significant developmental changes in water diffusion were seen in cerebellar gray and white matter that were altered in patients with supratentorial IVH. DTI studies may provide an early indicator for cerebellar injury and abnormal cerebellar development in preterm neonates.

journal_name

Pediatr Res

journal_title

Pediatric research

authors

Tam EW,Ferriero DM,Xu D,Berman JI,Vigneron DB,Barkovich AJ,Miller SP

doi

10.1203/PDR.0b013e3181a1fb3d

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

102-6

issue

1

eissn

0031-3998

issn

1530-0447

journal_volume

66

pub_type

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