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MR Imaging for accurate Prediction of Outcome after Perinatal Arterial Ischemic Stroke: Sooner not Necessarily Better
Abstract Two full-term infants with perinatal arterial ischemic stroke (PAIS), with cerebral sinovenous thrombosis of the superior sagittal sinus in one of them, are reported. Diffusion weighted imaging (DWI)-MRI, performed within 24 hours following onset of seizures and repeated 48 hours later, cle...
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| Published in: | European journal of paediatric neurology 2017-07, Vol.21 (4), p.666-670 |
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| Main Authors: | , , , , |
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| cited_by | cdi_FETCH-LOGICAL-c411t-5bc4ac57b9874759aeedd10b290c688dedc3e2177afba041b8bf26cc686885b83 |
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| cites | cdi_FETCH-LOGICAL-c411t-5bc4ac57b9874759aeedd10b290c688dedc3e2177afba041b8bf26cc686885b83 |
| container_end_page | 670 |
| container_issue | 4 |
| container_start_page | 666 |
| container_title | European journal of paediatric neurology |
| container_volume | 21 |
| creator | Wagenaar, Nienke, MD van der Aa, Niek E., MD PhD Groenendaal, Floris, MD PhD Benders, Manon J.N.L., MD PhD de Vries, Linda S., MD PhD |
| description | Abstract Two full-term infants with perinatal arterial ischemic stroke (PAIS), with cerebral sinovenous thrombosis of the superior sagittal sinus in one of them, are reported. Diffusion weighted imaging (DWI)-MRI, performed within 24 hours following onset of seizures and repeated 48 hours later, clearly showed restricted diffusion within the middle cerebral artery territory on both MRIs, but clear patterns of signal intensity changes in the descending corticospinal tracts on the second MRI only. Since involvement of these structures is essential for prediction of motor outcome, we may need to reconsider optimal timing of MR imaging for prediction of neurodevelopmental outcome after PAIS. |
| doi_str_mv | 10.1016/j.ejpn.2017.04.002 |
| format | article |
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Diffusion weighted imaging (DWI)-MRI, performed within 24 hours following onset of seizures and repeated 48 hours later, clearly showed restricted diffusion within the middle cerebral artery territory on both MRIs, but clear patterns of signal intensity changes in the descending corticospinal tracts on the second MRI only. Since involvement of these structures is essential for prediction of motor outcome, we may need to reconsider optimal timing of MR imaging for prediction of neurodevelopmental outcome after PAIS.</description><identifier>ISSN: 1090-3798</identifier><identifier>EISSN: 1532-2130</identifier><identifier>DOI: 10.1016/j.ejpn.2017.04.002</identifier><identifier>PMID: 28499876</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Corticospinal tract ; Diffusion Magnetic Resonance Imaging - methods ; Female ; Humans ; Infant ; Male ; Middle Aged ; MRI ; Neonate ; Neurology ; PAIS ; Pediatrics ; Pyramidal Tracts - diagnostic imaging ; Pyramidal Tracts - pathology ; Stroke ; Stroke - diagnostic imaging ; Stroke - pathology ; Time Factors ; Wallerian</subject><ispartof>European journal of paediatric neurology, 2017-07, Vol.21 (4), p.666-670</ispartof><rights>European Paediatric Neurology Society</rights><rights>2017 European Paediatric Neurology Society</rights><rights>Copyright © 2017 European Paediatric Neurology Society. 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All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-5bc4ac57b9874759aeedd10b290c688dedc3e2177afba041b8bf26cc686885b83</citedby><cites>FETCH-LOGICAL-c411t-5bc4ac57b9874759aeedd10b290c688dedc3e2177afba041b8bf26cc686885b83</cites><orcidid>0000-0002-9284-1637</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28499876$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wagenaar, Nienke, MD</creatorcontrib><creatorcontrib>van der Aa, Niek E., MD PhD</creatorcontrib><creatorcontrib>Groenendaal, Floris, MD PhD</creatorcontrib><creatorcontrib>Benders, Manon J.N.L., MD PhD</creatorcontrib><creatorcontrib>de Vries, Linda S., MD PhD</creatorcontrib><title>MR Imaging for accurate Prediction of Outcome after Perinatal Arterial Ischemic Stroke: Sooner not Necessarily Better</title><title>European journal of paediatric neurology</title><addtitle>Eur J Paediatr Neurol</addtitle><description>Abstract Two full-term infants with perinatal arterial ischemic stroke (PAIS), with cerebral sinovenous thrombosis of the superior sagittal sinus in one of them, are reported. Diffusion weighted imaging (DWI)-MRI, performed within 24 hours following onset of seizures and repeated 48 hours later, clearly showed restricted diffusion within the middle cerebral artery territory on both MRIs, but clear patterns of signal intensity changes in the descending corticospinal tracts on the second MRI only. Since involvement of these structures is essential for prediction of motor outcome, we may need to reconsider optimal timing of MR imaging for prediction of neurodevelopmental outcome after PAIS.</description><subject>Corticospinal tract</subject><subject>Diffusion Magnetic Resonance Imaging - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>MRI</subject><subject>Neonate</subject><subject>Neurology</subject><subject>PAIS</subject><subject>Pediatrics</subject><subject>Pyramidal Tracts - diagnostic imaging</subject><subject>Pyramidal Tracts - pathology</subject><subject>Stroke</subject><subject>Stroke - diagnostic imaging</subject><subject>Stroke - pathology</subject><subject>Time Factors</subject><subject>Wallerian</subject><issn>1090-3798</issn><issn>1532-2130</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp9kUtv1TAQhSMEog_4AyyQl2wSbOfhGCGkUlF6pZZWXFhbzmRSnCb2xXaQ7r_H0W1ZsOjKY805RzPfZNkbRgtGWfN-LHDc2YJTJgpaFZTyZ9kxq0uec1bS56mmkualkO1RdhLCSCmVFW9eZke8raRsRXOcLdffyWbWd8bekcF5ogEWryOSW4-9gWicJW4gN0sENyPRQ0RPbtEbq6OeyJlPf5OKTYBfOBsg2-jdPX4gW-dskloXyTcEDEF7M-3JZ4zJ8Sp7Megp4OuH9zT7efHlx_llfnXzdXN-dpVDxVjM6w4qDbXo0qyVqKVG7HtGOy4pNG3bYw8lciaEHjpNK9a13cAbSL3Urbu2PM3eHXJ33v1eMEQ1mwA4TdqiW4JirZSMNYKLJOUHKXgXgsdB7byZtd8rRtWKW41qxa1W3IpWKuFOprcP-Us3Y__P8sg3CT4eBJi2_GPQqwAGLSS2HiGq3pmn8z_9Z4fJWAN6usc9htEt3iZ-iqnAFVXb9eDrvZkok7uS5V-vAadI</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Wagenaar, Nienke, MD</creator><creator>van der Aa, Niek E., MD PhD</creator><creator>Groenendaal, Floris, MD PhD</creator><creator>Benders, Manon J.N.L., MD PhD</creator><creator>de Vries, Linda S., MD PhD</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9284-1637</orcidid></search><sort><creationdate>20170701</creationdate><title>MR Imaging for accurate Prediction of Outcome after Perinatal Arterial Ischemic Stroke: Sooner not Necessarily Better</title><author>Wagenaar, Nienke, MD ; van der Aa, Niek E., MD PhD ; Groenendaal, Floris, MD PhD ; Benders, Manon J.N.L., MD PhD ; de Vries, Linda S., MD PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-5bc4ac57b9874759aeedd10b290c688dedc3e2177afba041b8bf26cc686885b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Corticospinal tract</topic><topic>Diffusion Magnetic Resonance Imaging - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>MRI</topic><topic>Neonate</topic><topic>Neurology</topic><topic>PAIS</topic><topic>Pediatrics</topic><topic>Pyramidal Tracts - diagnostic imaging</topic><topic>Pyramidal Tracts - pathology</topic><topic>Stroke</topic><topic>Stroke - diagnostic imaging</topic><topic>Stroke - pathology</topic><topic>Time Factors</topic><topic>Wallerian</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wagenaar, Nienke, MD</creatorcontrib><creatorcontrib>van der Aa, Niek E., MD PhD</creatorcontrib><creatorcontrib>Groenendaal, Floris, MD PhD</creatorcontrib><creatorcontrib>Benders, Manon J.N.L., MD PhD</creatorcontrib><creatorcontrib>de Vries, Linda S., MD PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of paediatric neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wagenaar, Nienke, MD</au><au>van der Aa, Niek E., MD PhD</au><au>Groenendaal, Floris, MD PhD</au><au>Benders, Manon J.N.L., MD PhD</au><au>de Vries, Linda S., MD PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MR Imaging for accurate Prediction of Outcome after Perinatal Arterial Ischemic Stroke: Sooner not Necessarily Better</atitle><jtitle>European journal of paediatric neurology</jtitle><addtitle>Eur J Paediatr Neurol</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>21</volume><issue>4</issue><spage>666</spage><epage>670</epage><pages>666-670</pages><issn>1090-3798</issn><eissn>1532-2130</eissn><abstract>Abstract Two full-term infants with perinatal arterial ischemic stroke (PAIS), with cerebral sinovenous thrombosis of the superior sagittal sinus in one of them, are reported. Diffusion weighted imaging (DWI)-MRI, performed within 24 hours following onset of seizures and repeated 48 hours later, clearly showed restricted diffusion within the middle cerebral artery territory on both MRIs, but clear patterns of signal intensity changes in the descending corticospinal tracts on the second MRI only. Since involvement of these structures is essential for prediction of motor outcome, we may need to reconsider optimal timing of MR imaging for prediction of neurodevelopmental outcome after PAIS.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>28499876</pmid><doi>10.1016/j.ejpn.2017.04.002</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-9284-1637</orcidid></addata></record> |
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| ispartof | European journal of paediatric neurology, 2017-07, Vol.21 (4), p.666-670 |
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| language | eng |
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| source | Elsevier |
| subjects | Corticospinal tract Diffusion Magnetic Resonance Imaging - methods Female Humans Infant Male Middle Aged MRI Neonate Neurology PAIS Pediatrics Pyramidal Tracts - diagnostic imaging Pyramidal Tracts - pathology Stroke Stroke - diagnostic imaging Stroke - pathology Time Factors Wallerian |
| title | MR Imaging for accurate Prediction of Outcome after Perinatal Arterial Ischemic Stroke: Sooner not Necessarily Better |
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