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The Effects of the Severity of Periventricular Leukomalacia on the Neuropsychological Outcomes of Preterm Children

Authors
 Ja Young Choi  ;  Dong-wook Rha  ;  Eun Sook Park 
Citation
 JOURNAL OF CHILD NEUROLOGY, Vol.31(5) : 603-612, 2016 
Journal Title
JOURNAL OF CHILD NEUROLOGY
ISSN
 0883-0738 
Issue Date
2016
MeSH
Adolescent ; Adult ; Brain/diagnostic imaging ; Child ; Child Behavior ; Cognition Disorders/diagnosis ; Cognition Disorders/diagnostic imaging ; Cognition Disorders/etiology* ; Developmental Disabilities/diagnostic imaging ; Developmental Disabilities/etiology* ; Epilepsy/etiology ; Female ; Gestational Age ; Humans ; Image Processing, Computer-Assisted ; Leukomalacia, Periventricular/diagnostic imaging ; Leukomalacia, Periventricular/etiology* ; Logistic Models ; Magnetic Resonance Imaging ; Male ; Neurologic Examination ; Neuropsychological Tests ; Outcome Assessment (Health Care) ; Premature Birth/physiopathology* ; Premature Birth/psychology* ; Social Behavior ; Young Adult
Keywords
intellectual ability ; periventricular leukomalacia ; preterm ; social adaptive function
Abstract
This study investigates the developmental outcomes of preterm children according to severity of periventricular leukomalacia. One hundred preterm children with periventricular leukomalacia evident on brain magnetic resonance imaging and who had undergone neuropsychologic evaluation were selected. Intellectual disability was noted in 27.8% of the children with mild periventricular leukomalacia, 53.2% with moderate periventricular leukomalacia, and 77.1% with severe periventricular leukomalacia. The rates of major neurodevelopmental impairments such as cerebral palsy or intellectual disability were related to the severity of periventricular leukomalacia but not to gestational age or epilepsy. There were significant differences in the intelligence quotient (IQ) and social maturity quotient between 3 groups of periventricular leukomalacia. The performance IQ was significantly lower than the verbal IQ. Behavioral problems were noted in about one-third of the children but the rate was not related with the severity of periventricular leukomalacia. Our study revealed the significant associations between severity of periventricular leukomalacia and cognitive and social adaptive functions in the preterm children.
Full Text
http://jcn.sagepub.com/content/31/5/603
DOI
10.1177/0883073815604229
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
Rha, Dong Wook(나동욱) ORCID logo https://orcid.org/0000-0002-7153-4937
Park, Eun Sook(박은숙) ORCID logo https://orcid.org/0000-0002-9144-3063
Choi, Ja Young(최자영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146552
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