Research ArticlePEDIATRICS
Nonmicrocephalic Infants with Congenital Zika Syndrome Suspected Only after Neuroimaging Evaluation Compared with Those with Microcephaly at Birth and Postnatally: How Large Is the Zika Virus “Iceberg”?
M.F.V.V. Aragao, A.C. Holanda, A.M. Brainer-Lima, N.C.L. Petribu, M. Castillo, V. van der Linden, S.C. Serpa, A.G. Tenório, P.T.C. Travassos, M.T. Cordeiro, C. Sarteschi, M.M. Valenca and A. Costello
American Journal of Neuroradiology May 2017, DOI: https://doi.org/10.3174/ajnr.A5216
M.F.V.V. Aragao
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
A.C. Holanda
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
A.M. Brainer-Lima
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
N.C.L. Petribu
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
M. Castillo
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
V. van der Linden
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
S.C. Serpa
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
A.G. Tenório
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
P.T.C. Travassos
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
M.T. Cordeiro
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
C. Sarteschi
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
M.M. Valenca
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
A. Costello
From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
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- Published online May 18, 2017.
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Author Information
- M.F.V.V. Aragao,
- A.C. Holanda,
- A.M. Brainer-Lima,
- N.C.L. Petribu,
- M. Castillo,
- V. van der Linden,
- S.C. Serpa,
- A.G. Tenório,
- P.T.C. Travassos,
- M.T. Cordeiro,
- C. Sarteschi,
- M.M. Valenca and
- A. Costello
- From the Centro Diagnostico Multimagem (M.F.V.V.A.), Recife, Brazil; Federal University of Pernambuco (A.C.H.), Recife, Brazil; Pronto-Socorro Cardiológico de Pernambuco (Procape) (A.M.B.-L., M.M.V.), University of Pernambuco, Recife, Brazil; Barão de Lucena Hospital (N.C.L.P.), Recife, Brazil; Department of Radiology (M.C.), University of North Carolina, Chapel Hill, North Carolina; Association for Assistance of Disabled Children (V.v.d.L.), Recife, Brazil; Clínica de Apoio Ocupacional (S.C.S.), Jaboatío dos Guararapes, Brazil; Dom Malan Hospital (A.G.T.), Petrolina, Brazil; Laboratório Fernando Travassos (P.T.C.T.), Recife, Brazil; Centro de Pesquisas Aggeu Magalhãaes (M.T.C., C.S.), Fiocruz, Recife, Brazil; and Department of Maternal, Child, and Adolescent Health (A.C.), World Health Organization, Geneva, Switzerland.
- Please address correspondence to Maria de Fatima Viana Vasco Aragão, MD, Rua Frei Matias Teves, 194 Ilha do Leite, Recife, PE, 50070-450 Brazil; e-mail: fatima.vascoaragao{at}gmail.com
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M.F.V.V. Aragao, A.C. Holanda, A.M. Brainer-Lima, N.C.L. Petribu, M. Castillo, V. van der Linden, S.C. Serpa, A.G. Tenório, P.T.C. Travassos, M.T. Cordeiro, C. Sarteschi, M.M. Valenca, A. Costello
Nonmicrocephalic Infants with Congenital Zika Syndrome Suspected Only after Neuroimaging Evaluation Compared with Those with Microcephaly at Birth and Postnatally: How Large Is the Zika Virus “Iceberg”?
American Journal of Neuroradiology May 2017, DOI: 10.3174/ajnr.A5216
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Nonmicrocephalic Infants with Congenital Zika Syndrome Suspected Only after Neuroimaging Evaluation Compared with Those with Microcephaly at Birth and Postnatally: How Large Is the Zika Virus “Iceberg”?
M.F.V.V. Aragao, A.C. Holanda, A.M. Brainer-Lima, N.C.L. Petribu, M. Castillo, V. van der Linden, S.C. Serpa, A.G. Tenório, P.T.C. Travassos, M.T. Cordeiro, C. Sarteschi, M.M. Valenca, A. Costello
American Journal of Neuroradiology May 2017, DOI: 10.3174/ajnr.A5216
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