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“The aim was to investigate whether infants with periventricular white matter injury with bilateral spastic cerebral palsy have unique lesions different from lesions in those without cerebral palsy and to evaluate the early diagnostic efficiency of Diffusion Tensor Imaging for differentiating infants with spastic cerebral palsy from those with periventricular white matter injury without cerebral [...]
“This is an important study because it shows Diffusion MRI and MR spectroscopy of newborns after therapeutic cooling has predictive value as to outcomes when it relates to adverse outcomes, including moderately/severely delayed development and significant psychomotor development and/or mental developmental index," states Greg Vigna, MD, JD, national birth injury and malpractice attorney. What did [...]
“In our cohort, the presence of seizures, per se, was not associated with abnormal outcome; however a high seizure burden as well as a persistent abnormal aEEG background pattern and MR lesions resulted as being significantly associated with poor prognosis," states Dr. Claudia Basti, Neonatologist, Italy. Dr. Greg Vigna, MD, JD, national birth injury attorney, [...]
“A significant proportion (approximately 25%) of infants with mild neonatal encephalopathy have mild to moderate disability at 2 years. By 5 years, 35% are having difficulties in one or more areas. No trials of cooling in mild HIE have been undertaken and so clinicians have no evidence base to guide treatment in this group," states [...]
“We demonstrated consistent associations between early cerebral palsy diagnosis and the fiber density (FD), fiber-bundle cross-section (FC), and fiber density and cross-section (FDC) for each of the nine examined tracts," says Rahul Chandwani, MD, Perinatal Institute, Cincinnati Children’s Hospital. Dr. Greg Vigna, MD, JD, a neurological injury attorney who is Board Certified in Physical Medicine and [...]
“Universal cord blood gas screening with a pH threshold ≤7.10 and mandatory encephalopathy exam results in greater detection of infants with moderate/severe encephalopathy and timely initiation of therapeutic hypothermia," states Zachary A. Vesoulis, MD, Washington University School of Medicine, St. Louis, Missouri. What else does Dr. Vesoulis report in "Re-examining the Arterial Cord Blood Gas [...]
“MRI results were conclusive in 86.4% of children with cerebral palsy (CP). It is highly encouraged to perform a cranial MRI in every patient with cerebral palsy … because it helps not only to reveal the etiology but allows to establish the prognosis," states Dr. Eszter Nagy, Department of Pediatrics, Pecs Medical School, Hungary. Dr. [...]
“Based on research evidence, the best three tools to detect a high-risk of CP before the corrected age of 5 months old are neonatal magnetic resonance imaging (MRI), the Prechtl Qualitative Assessment of General Movements, and the Hammersmith Infant Neurological Examination," says Leena Haataja, MD, PhD, Children’s Hospital Helsinki, Finland. What else did Dr. Haataja [...]
“In the current study, eleven patients with dyskinetic CP (47.8%) showed abnormality in the putamen, thalamus, and periventricular white matter on brain MRI … this study showed a similar proportion of patients with abnormal findings on brain MRI as reported in previous studies … may suggest that brain MRI may not be the optimal diagnostic [...]
“The level of muscle tone is presented as a dynamic process in our study population. After early intervention, both hypertonia and hypo¬tonia improved, with the level of improvement of hypertonia more significant," states Yan-Li Hu, MD, Ninbo Women & Children’s Hospital, China. Dr. Greg Vigna, MD, JD, national malpractice attorney, and expert in life care [...]