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    Movement, imaging and neurobehavioral assessment as predictors of cerebral palsy in preterm infants.

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    Authors
    Constantinou, Janet C.
    Adamson-Macedo, Elvidina N.
    Mirmiran, Majid
    Fleisher, Barry E.
    Issue Date
    2007
    
    Metadata
    Show full item record
    Abstract
    OBJECTIVE: To study the relative efficacy of three early predictors of cerebral palsy. METHOD: One Hundred and thirty infants with birth weight <1500 g were recruited. Video recordings of spontaneous general movements were made at 36 and 52 weeks postconceptional age. Magnetic resonance imaging and the neurobehavioral assessment of the preterm infant were done at 36 weeks postconceptional age. Follow-up neurological examination and Bayley assessments were made at 18 months corrected age to make early identification of cerebral palsy. RESULTS: Magnetic resonance imaging gave the best specificity and accuracy of 91 and 84% respectively. General movements at 52 weeks showed an improved specificity and accuracy over performance at 36 weeks postconceptional age. The negative predictive value for all methods tested was between 90 and 97%. Combining the results of magnetic resonance imaging and the neurobehavioral assessment improved the sensitivity of prediction to 80%, suggesting that a holistic approach to early detection of cerebral lesions is preferable to a single test. CONCLUSIONS: The majority of infants who appeared to behave within normal limits and exhibit normal brain structure in the newborn period were classified as neurologically intact at follow-up.
    Citation
    Journal of Perinatology, 27(4): 225-229
    Publisher
    Nature Publishing Group
    URI
    http://hdl.handle.net/2436/17034
    DOI
    10.1038/sj.jp.7211664
    PubMed ID
    17304207
    Additional Links
    https://www.nature.com/articles/7211664
    Type
    Journal article
    Language
    en
    Description
    Metadata only
    ISSN
    0743-8346
    ae974a485f413a2113503eed53cd6c53
    10.1038/sj.jp.7211664
    Scopus Count
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    Faculty of Education, Health and Wellbeing

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