PMID: 7546003May 1, 1995Paper

MRI, MRA, and neurodevelopmental outcome following neonatal ECMO

Pediatric Neurology
P LagoJ A D'Agostino

Abstract

Cranial magnetic resonance imaging (MRI) of 31 newborn infants treated with venoarterial cardiopulmonary bypass for severe but reversible respiratory failure, revealed major focal parenchymal lesions in 7 of 31 infants (23%) and demonstrated abnormal enlargement of extra-axial and ventricular cerebrospinal fluid spaces in 16 of 31 (51%). No preferential left versus right lateralization of focal injury was observed in conjunction with right common carotid artery and jugular vein ligation. No statistically significant relationships were found between major brain lesions on MRI scans and the clinical characteristics of the pre-extracorporeal membrane oxygenation (ECMO), ECMO, and post-ECMO course. Major focal brain lesions were significantly associated with an asymmetric cerebrovascular response to carotid ligation of the right versus left middle cerebral arteries as detected by magnetic resonance angiography (P < .05). Enlarged cerebrospinal fluid spaces were not significantly related to the presence of parenchymal MRI lesions, but were associated with lower Bayley neurodevelopmental scores for mental (MDI) and psychomotor evaluations (PDI) at 6 and 12 months (P < .05). It is concluded that asymmetries of cerebral vascular adapta...Continue Reading

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Citations

Nov 15, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Melania M Bembea
Jul 26, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Kate L BrownRavi R Thiagarajan
Apr 21, 2010·BMC Pediatrics·David J FieldUNKNOWN NEST Study Group
Mar 4, 2014·Seminars in Perinatology·Arno F J van HeijstHanneke Ijsselstijn
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Feb 18, 2017·AJNR. American Journal of Neuroradiology·M A WienA N Massaro
Jul 2, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Robert PettignanoJudith Heggen
Oct 15, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Marlou M A RaetsDick Tibboel
Jan 29, 2019·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Jane L Di GennaroDavid M McMullan
Mar 21, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Brandon K ChaoSteven P Miller
Jul 8, 2020·Neurology·Arnold J SansevereRobert C Tasker
Aug 21, 2019·Frontiers in Pediatrics·Chandler R L MongersonDusica Bajic
Feb 6, 2018·Seminars in Perinatology·Nan LinDaniel J Licht

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