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MR Imaging Quantification of Cerebellar Growth Following Hypoxic-Ischemic Injury to the Neonatal Brain

Elisabeth Le Strangea, Nadeem Saeeda, Frances M. Cowanb, A. David Edwardsb and Mary A. Rutherforda,b

a Robert Steiner Magnetic Resonance Unit, Imaging Sciences Department
b Department of Pediatrics and Neonatal Medicine, Imperial College, Hammersmith Campus, London, England



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FIG 1. T1-weighted MR images (860/20).

A, Day 5 image shows focal infarction. There is a loss of gray matter–white matter differentiation in the posterior lobe on the left. This is consistent with perinatal infarction within the territory of the left middle cerebral artery.

B, Day 12 image shows basal ganglia and thalamic lesions. There are persistent, abnormal high-signal-intensity regions in the posterior lentiform nuclei and lateral thalami (arrows). The intervening posterior limb of the internal capsule shows reduced high signal intensity from myelin.



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FIG 2. Total cerebellar volume versus age in all infants, by group (n = 20).



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FIG 3. Cerebellar hemispheres in infants with cerebral infarcts. Volume ipsilateral to the infarct versus volume contralateral to the infarct (n = 11). The line is the line of equality.



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FIG 4. Cerebellar hemispheres in all infants. Volume of the right hemisphere versus volume of the left hemisphere (n = 20). The line is the line of equality.



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FIG 5. Cross-sectional area of the vermis versus age (n = 20).



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FIG 6. Cross-sectional area of the vermis versus total cerebellar volume (n = 23).