Table 1.
Infant | GA, wk | CA at TMS Assessment | Neuroradiology Findings | GMA Findings | Clinical Motor Outcomes |
---|---|---|---|---|---|
1 | 31 | 13 wk | Bilateral parieto-occipital cystic PVL | Absent fidgety movements | Spastic QCP |
2b | 36 | 12 mo | Left parietal encephalomalacic cleft, similar but milder cleft on right parietal vertex; hemosiderin deposits in left temporal, posterior left frontal, and left parietal lobes | Fidgety movements | No observable motor impairments, no CP diagnosis |
3 | 26 | 18 wk | Bilateral cystic PVL, ex vacuo dilatation of the lateral and third ventricles; left thinning of parietal and occipital lobes | Absent fidgety movements | Spastic QCP |
4 | 22 | 9 mo | Bilateral cerebellar hemorrhages, ex vacuo dilatation of the fourth ventricle | Too old at exam | Gross motor delays, DEA = 3 mo 2 d; no CP diagnosis |
5 | 39 | 10 mo | Extensive bilateral ischemia in the right parietal, occipital, temporal, and posterior frontal lobes; BG and Thal; and in left parietal, posterior temporal, posterior occipital, and frontal lobes | Too old at exam | HCP, left upper and lower limb impairment, DEA = 4 mo |
6 | 41 | 12 mo | Gliosis and encephalomalacia along the right paracentral region, corona radiata, centrum semiovale, and PLIC | Too old at exam | HCP, left upper limb impairment, DEA = 10 mo |
a BG = basal ganglia; CA = corrected age; CP = cerebral palsy; DEA = developmental equivalent age from Bayley-III fine motor subscale; GA = gestational age; GMA = General Movements Assessment; HCP = hemiplegic cerebral palsy; PLIC = posterior limb of internal capsule; PVL = periventricular leukomalacia; QCP = quadriplegic cerebral palsy; Thal = thalamus; TMS = transcranial magnetic stimulation.
b Infant had prior GMA at age CA 13 wk. Centrally acting medications: Infant 3: amlodipine, clonidine, valium, gabapentin, melatonin; Infant 5: phenobarbital.