Table 4.
Association between MRI abnormalities and grade of Neonatal Encephalopathy
Mild NE (n=48) |
Moderate NE (n=35) |
Severe NE (n=6) |
p value | |
---|---|---|---|---|
| ||||
Normal | 22 (46) | 16 (46) | 3 (50) | 0.98 |
| ||||
Isolated IVH | 4 (8) | 1 (3) | 0 | 0.46 |
| ||||
Isolated Cerebellar Hemorrhage | 2 (4) | 2 (6) | 0 | 0.81 |
| ||||
Isolated Sinus Venous Thrombosis | 0 | 1 (3) | 0 | |
| ||||
Punctate white matter lesion | 2 (4) | 2 (6) | 0 | 0.81 |
| ||||
Injury Consistent with Barkovich Classification | 18 (38) | 13 (37) | 3 (50) | 0.83 |
| ||||
Basal Ganglia/Thalamic Injury | 2 (4) | 3 (9) | 2 (34) | 0.032 |
| ||||
Severity of Basal Ganglia/Thalamic Injury† | ||||
| ||||
1. Abnormal signal in the thalamus | 2 (4) | |||
| ||||
2. Abnormal signal in the thalamus and lentiform nucleus | 1 (3) | 1 (17) | ||
| ||||
3. Abnormal signal in the thalamus, lentiform nucleus, and perirolandic cortex | 2 (6) | 1 (17) | ||
4. More extensive involvement | ||||
| ||||
Watershed Injury | 18 (36) | 11 (32) | 3 (50) | 0.33 |
| ||||
Severity of Watershed Injury† | ||||
| ||||
1. Single focal infarction | 4 (8) | 3 (9) | ||
| ||||
2. Abnormal signal in anterior or posterior watershed white matter | 3 (6) | 4 (11) | 2 (33) | |
| ||||
3. Abnormal signal in anterior or posterior watershed cortex and white matter | 5 (10) | 2 (6) | ||
| ||||
4. Abnormal signal in both anterior and posterior watershed zones | 5 (10) | 1 (3) | ||
| ||||
5. More extensive cortical involvement | 1 (2) | 1 (3) | 1 (17) | |
| ||||
Moderate-Severe Injury on MRI† | 11 (23) | 6 (17) | 2 (33) | 0.62 |
n (%). Analysis across groups was performed using the Chi Squared test.
Severity of injury defined using Barkovich grading system as detailed in methods section