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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 [...]
“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 [...]
“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 [...]