RT Journal Article SR Electronic T1 White Matter Injury and Structural Anomalies in Infants with Prenatal Opioid Exposure JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 2161 OP 2165 DO 10.3174/ajnr.A6282 VO 40 IS 12 A1 S.L. Merhar A1 N.A. Parikh A1 A. Braimah A1 B.B. Poindexter A1 J. Tkach A1 B. Kline-Fath YR 2019 UL http://www.ajnr.org/content/40/12/2161.abstract AB SUMMARY: Previous studies have not found structural injury or brain malformations in infants and children with prenatal opioid exposure. As part of an ongoing study evaluating neuroimaging in infants with prenatal opioid exposure, we reviewed structural brain MR imaging in 20 term infants with prenatal opioid exposure and 20 term controls at 4–8 weeks of age. We found that 8 of the 20 opioid-exposed infants had punctate white matter lesions or white matter signal abnormality on structural MR imaging, and 2 of the opioid-exposed infants had a septopreoptic fusion anomaly. No controls had white matter injury or structural malformations. Our findings underscore the importance of clinical neurodevelopmental follow-up and the need for more comprehensive imaging and long-term outcomes research following prenatal opioid exposure.