Apparent diffusion coefficient values predict outcomes of abusive head trauma.
Acta Paediatr
; 102(8): 805-8, 2013 Aug.
Article
em En
| MEDLINE
| ID: mdl-23631484
ABSTRACT
AIM:
To evaluate the apparent diffusion coefficient (ADC) values for predicting the long-term neurodevelopmental outcomes of patients with abusive head trauma (AHT).METHODS:
Apparent diffusion coefficient maps were retrospectively reviewed for 14 patients who presented with AHT at a mean age of 6.7 months (range 1-18 months), and the clinical outcomes of the survivors were based on the Glasgow Outcome Score.RESULTS:
One of 14 infants died, and two were severely disabled. One had mild impairment and four had moderate disability. In the 4 days after admission, the ADC values in all brain regions were strongly associated with a poor neurodevelopmental outcome (p < 0.05) basal ganglia, thalamus, brain stem, corpus callosum, frontal white matter, central white matter, parietal white matter, frontal grey matter, parietal grey matter, cerebellar vermis, cerebellar cortex and mean total brain.CONCLUSION:
Apparent diffusion coefficient values during the acute phase of AHT were significantly associated with poor long-term neurodevelopmental outcomes.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Doenças do Sistema Nervoso Central
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Maus-Tratos Infantis
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Síndrome do Bebê Sacudido
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Imagem de Difusão por Ressonância Magnética
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Traumatismos Craniocerebrais
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Infant
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Male
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Newborn
Idioma:
En
Revista:
Acta Paediatr
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Japão