Table 5. Two-year MRI scan features of CHIKV-related white matter injury in eight children with perinatal mother-to-child Chikungunya virus infection, CHIMERE cohort, Reunion Island, 2008.
Child | Initiation presentation | Age (mo) | GDQ | HC (SD)* | WM areas | Demyelination | Cavitations | Gliosis | Spectroscopy |
n°1 | Encephalopathy | 25.9 | 69 | −1.0 | Diffuse, CC | VC | VC | OVc | Normal |
n°2 | Encephalopathy | 24.4 | 84 | −0.3 | Diffuse | VC, OvC | Absent | Absent | Normal |
n°3 | Encephalopathy | 20.3 | 74 | −2.2 | Diffuse, CC | VC, OvC | Absent | Absent | ↓ NAA |
n°4 | Encephalopathy | 20.2 | 77 | −2.7 | Diffuse, CC | VC, OvC | Absent | Absent | ↓ NAA |
n°5 | Prostration | 20.1 | 79 | −0.5 | Normal | Absent | Absent | Absent | Normal |
n°6 | Encephalopathy | 20.2 | NA | −3.2 | Diffuse, CC | VC | VC | Absent | ↓ NAA |
n°7 | Prostration | 15.8 | 101 | +0.1 | Normal | Absent | Absent | Absent | Normal |
n°8 | Prostration | 22.4 | 96 | −0.1 | Normal | Absent | Absent | Absent | Normal |
Age at neuropsychological evaluation (months); GDQ: global development quotient; HC:
*head circumference is corrected for 24 months of postnatal age;
SD: standard deviation; WM: white matter; NA: not assessed. Diffuse includes frontal plus two or more lobes; CC: corpus callosum ; OC: ovale centrum ; VC: ventricular crossroads.
↓NAA : reduction of N-acetyl-aspartate peak indicative of white matter hypometabolism or axonal loss;