Altered microstructure of the splenium of corpus callosum is associated with neurodevelopmental impairment in preterm infants with necrotizing enterocolitis

Autor: Jong Ho Cha, Jung-Sun Lim, Yong Hun Jang, Jae Kyoon Hwang, Jae Yoon Na, Jong-Min Lee, Hyun Ju Lee, Ja-Hye Ahn
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Italian Journal of Pediatrics, Vol 48, Iss 1, Pp 1-10 (2022)
Druh dokumentu: article
ISSN: 1824-7288
DOI: 10.1186/s13052-021-01197-z
Popis: Abstract Background Necrotizing enterocolitis (NEC) is a devastating disease in preterm infants with significant morbidities, including neurodevelopmental impairment (NDI). This study aimed to investigate whether NEC is associated with (1) brain volume expansion and white matter maturation using diffusion tensor imaging analysis and (2) NDI compared with preterm infants without NEC. Methods We included 86 preterm infants (20 with NEC and 66 without NEC) with no evidence of brain abnormalities on trans-fontanelle ultrasonography and magnetic resonance imaging at term-equivalent age (TEA). Regional brain volume analysis and white matter tractography were performed to study brain microstructure alterations. NDI was assessed using the Bayley Scales of Infant and Toddler Development-III (BSID-III) at 18 months of corrected age (CA). Results Preterm infants with NEC showed significantly high risk of motor impairment (odds ratio 58.26, 95% confidence interval 7.80–435.12, p
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