Correlation of brain ultrasonography scans to the neuromotor outcome of very-low-birth-weight infants during the first year of life

J Child Neurol. 2014 Nov;29(11):1429-35. doi: 10.1177/0883073813479171. Epub 2013 Mar 6.

Abstract

To evaluate the consistency of the Hammersmith Infant Neurological Examination scores of very-low-birth-weight infants at 6 and 12 months of age and its correlation to cranial ultrasonography findings, we designed a prospective study between January 2005 and January 2008, in the tertiary Neonatal Unit of Aristotle University of Thessaloniki, Greece. All infants enrolled had a cranial ultrasonography performed at term. Preterm infants born at <32 weeks gestation with a birth weight <1500 g were eligible for the study. One hundred seventy-four infants were finally enrolled; out of those, 46 (26%) had an optimal score at 6 and 76 (44%) at 12 months of age. Mean global scores were 61 and 69 at 6 and 12 months, respectively. The Hammersmith Infant Neurological Examination score significantly increased between 6 and 12 months, equally in all ultrasonography groups. The presence of cystic periventricular leukomalacia was associated to lower scores and neurologic impairment.

Keywords: neonates; neurodevelopment; prematurity; ultrasonography.

Publication types

  • Evaluation Study

MeSH terms

  • Cerebral Ventricles / abnormalities
  • Cerebral Ventricles / diagnostic imaging
  • Echoencephalography / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature / physiology*
  • Infant, Very Low Birth Weight / physiology*
  • Leukomalacia, Periventricular / diagnostic imaging
  • Leukomalacia, Periventricular / physiopathology
  • Male
  • Neurologic Examination / methods*
  • Prospective Studies