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The clinical outcomes of deep gray matter injury in children with cerebral palsy in relation with brain magnetic resonance imaging

DC FieldValueLanguage
dc.contributor.author나동욱-
dc.contributor.author박은숙-
dc.contributor.author최윤성-
dc.contributor.author최자영-
dc.date.accessioned2017-10-26T07:13:27Z-
dc.date.available2017-10-26T07:13:27Z-
dc.date.issued2016-
dc.identifier.issn0891-4222-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151759-
dc.description.abstractIn the present study we investigated the nature and extent of clinical outcomes using various classifications and analyzed the relationship between brain magnetic resonance imaging (MRI) findings and the extent of clinical outcomes in children with cerebral palsy (CP) with deep gray matter injury. The deep gray matter injuries of 69 children were classified into hypoxic ischemic encephalopathy (HIE) and kernicterus patterns. HIE patterns were divided into four groups (I-IV) based on severity. Functional classification was investigated using the gross motor function classification system-expanded and revised, manual ability classification system, communication function classification system, and tests of cognitive function, and other associated problems. The severity of HIE pattern on brain MRI was strongly correlated with the severity of clinical outcomes in these various domains. Children with a kernicterus pattern showed a wide range of clinical outcomes in these areas. Children with severe HIE are at high risk of intellectual disability (ID) or epilepsy and children with a kernicterus pattern are at risk of hearing impairment and/or ID. Grading severity of HIE pattern on brain MRI is useful for predicting overall outcomes. The clinical outcomes of children with a kernicterus pattern range widely from mild to severe. WHAT THIS PAPER ADDS: Delineation of the clinical outcomes of children with deep gray matter injury, which are a common abnormal brain MRI finding in children with CP, is necessary. The present study provides clinical outcomes for various domains in children with deep gray matter injury on brain MRI. The deep gray matter injuries were divided into two major groups; HIE and kernicterus patterns. Our study showed that severity of HIE pattern on brain MRI was strongly associated with the severity of impairments in gross motor function, manual ability, communication function, and cognition. These findings suggest that severity of HIE pattern can be useful for predicting the severity of impairments. Conversely, children with a kernicterus pattern showed a wide range of clinical outcomes in various domains. Children with severe HIE pattern are at high risk of ID or epilepsy and children with kernicterus pattern are at risk of hearing impairment or ID. The strength of our study was the assessment of clinical outcomes after 3 years of age using standardized classification systems in various domains in children with deep gray matter injury.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherPergamon Press-
dc.relation.isPartOfResearch in Developmental Disabilities-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHCerebral Palsy/diagnostic imaging*-
dc.subject.MESHCerebral Palsy/epidemiology-
dc.subject.MESHCerebral Palsy/physiopathology-
dc.subject.MESHChild-
dc.subject.MESHChild, Preschool-
dc.subject.MESHCognition-
dc.subject.MESHCommunication-
dc.subject.MESHDevelopmental Disabilities/diagnostic imaging*-
dc.subject.MESHDevelopmental Disabilities/epidemiology-
dc.subject.MESHDevelopmental Disabilities/physiopathology-
dc.subject.MESHEpilepsy/diagnostic imaging-
dc.subject.MESHEpilepsy/epidemiology-
dc.subject.MESHFemale-
dc.subject.MESHGray Matter/diagnostic imaging*-
dc.subject.MESHGray Matter/physiopathology-
dc.subject.MESHHumans-
dc.subject.MESHHypoxia-Ischemia, Brain/diagnostic imaging*-
dc.subject.MESHHypoxia-Ischemia, Brain/epidemiology-
dc.subject.MESHHypoxia-Ischemia, Brain/physiopathology-
dc.subject.MESHInfant-
dc.subject.MESHIntellectual Disability/diagnostic imaging-
dc.subject.MESHIntellectual Disability/epidemiology-
dc.subject.MESHKernicterus/diagnostic imaging*-
dc.subject.MESHKernicterus/epidemiology-
dc.subject.MESHKernicterus/physiopathology-
dc.subject.MESHMagnetic Resonance Imaging-
dc.subject.MESHMale-
dc.subject.MESHMotor Skills-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Factors-
dc.subject.MESHSeverity of Illness Index-
dc.titleThe clinical outcomes of deep gray matter injury in children with cerebral palsy in relation with brain magnetic resonance imaging-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Rehabilitation Medicine-
dc.contributor.googleauthorJa Young Choi-
dc.contributor.googleauthorYoon Seong Choi-
dc.contributor.googleauthorDong-wook Rha-
dc.contributor.googleauthorEun Sook Park-
dc.identifier.doi10.1016/j.ridd.2016.04.010-
dc.contributor.localIdA01611-
dc.contributor.localIdA04137-
dc.contributor.localIdA04170-
dc.contributor.localIdA01230-
dc.relation.journalcodeJ02608-
dc.identifier.pmid27214680-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0891422216300804-
dc.subject.keywordCerebral palsy-
dc.subject.keywordClinical outcome-
dc.subject.keywordDeep gray matter-
dc.subject.keywordMagnetic resonance imaging-
dc.contributor.alternativeNameRha, Dong Wook-
dc.contributor.alternativeNamePark, Eun Sook-
dc.contributor.alternativeNameChoi, Yoon Seong-
dc.contributor.alternativeNameChoi, Ja Young-
dc.contributor.affiliatedAuthorPark, Eun Sook-
dc.contributor.affiliatedAuthorChoi, Yoon Seong-
dc.contributor.affiliatedAuthorChoi, Ja Young-
dc.contributor.affiliatedAuthorRha, Dong Wook-
dc.citation.volume55-
dc.citation.startPage218-
dc.citation.endPage225-
dc.identifier.bibliographicCitationResearch in Developmental Disabilities, Vol.55 : 218-225, 2016-
dc.date.modified2017-10-24-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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