Mammillary body atrophy and other MRI correlates of school-age outcome following neonatal hypoxic-ischemic encephalopathy

Abstract The mammillary bodies (MB) and hippocampi are important for memory function and are often affected following neonatal hypoxic ischemic encephalopathy (HIE). The aim of this study was to assess neurodevelopmental outcome in 10-year-old children with HIE with and without therapeutic hypotherm...

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Autores principales: Kim V. Annink, Linda S. de Vries, Floris Groenendaal, Rian M. J. C. Eijsermans, Manouk Mocking, Monique M. J. van Schooneveld, Jeroen Dudink, Henrica L. M. van Straaten, Manon J. N. L. Benders, Maarten Lequin, Niek E. van der Aa
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/f8daa1133c2b46cb8a2bc14dabf7dc00
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spelling oai:doaj.org-article:f8daa1133c2b46cb8a2bc14dabf7dc002021-12-02T13:30:51ZMammillary body atrophy and other MRI correlates of school-age outcome following neonatal hypoxic-ischemic encephalopathy10.1038/s41598-021-83982-82045-2322https://doaj.org/article/f8daa1133c2b46cb8a2bc14dabf7dc002021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83982-8https://doaj.org/toc/2045-2322Abstract The mammillary bodies (MB) and hippocampi are important for memory function and are often affected following neonatal hypoxic ischemic encephalopathy (HIE). The aim of this study was to assess neurodevelopmental outcome in 10-year-old children with HIE with and without therapeutic hypothermia. Additional aims were to assess the associations between MB atrophy, brain volumes (including the hippocampi), white matter microstructure and neurodevelopmental outcome at school-age. Ten-year-old children with HIE were included, who were treated with therapeutic hypothermia (n = 22) or would have qualified but were born before this became standard of care (n = 28). Children completed a neuropsychological and motor assessment and MRI. Mammillary bodies were scored as normal or atrophic at 10 years. Brain volumes were segmented on childhood MRI and DTI scans were analysed using tract-based spatial statistics. Children with HIE suffered from neurocognitive and memory problems at school-age, irrespective of hypothermia. Hippocampal volumes and MB atrophy were associated with total and performance IQ, processing speed and episodic memory in both groups. Normal MB and larger hippocampi were positively associated with global fractional anisotropy. In conclusion, injury to the MB and hippocampi was associated with neurocognition and memory at school-age in HIE and might be an early biomarker for neurocognitive and memory problems.Kim V. AnninkLinda S. de VriesFloris GroenendaalRian M. J. C. EijsermansManouk MockingMonique M. J. van SchooneveldJeroen DudinkHenrica L. M. van StraatenManon J. N. L. BendersMaarten LequinNiek E. van der AaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kim V. Annink
Linda S. de Vries
Floris Groenendaal
Rian M. J. C. Eijsermans
Manouk Mocking
Monique M. J. van Schooneveld
Jeroen Dudink
Henrica L. M. van Straaten
Manon J. N. L. Benders
Maarten Lequin
Niek E. van der Aa
Mammillary body atrophy and other MRI correlates of school-age outcome following neonatal hypoxic-ischemic encephalopathy
description Abstract The mammillary bodies (MB) and hippocampi are important for memory function and are often affected following neonatal hypoxic ischemic encephalopathy (HIE). The aim of this study was to assess neurodevelopmental outcome in 10-year-old children with HIE with and without therapeutic hypothermia. Additional aims were to assess the associations between MB atrophy, brain volumes (including the hippocampi), white matter microstructure and neurodevelopmental outcome at school-age. Ten-year-old children with HIE were included, who were treated with therapeutic hypothermia (n = 22) or would have qualified but were born before this became standard of care (n = 28). Children completed a neuropsychological and motor assessment and MRI. Mammillary bodies were scored as normal or atrophic at 10 years. Brain volumes were segmented on childhood MRI and DTI scans were analysed using tract-based spatial statistics. Children with HIE suffered from neurocognitive and memory problems at school-age, irrespective of hypothermia. Hippocampal volumes and MB atrophy were associated with total and performance IQ, processing speed and episodic memory in both groups. Normal MB and larger hippocampi were positively associated with global fractional anisotropy. In conclusion, injury to the MB and hippocampi was associated with neurocognition and memory at school-age in HIE and might be an early biomarker for neurocognitive and memory problems.
format article
author Kim V. Annink
Linda S. de Vries
Floris Groenendaal
Rian M. J. C. Eijsermans
Manouk Mocking
Monique M. J. van Schooneveld
Jeroen Dudink
Henrica L. M. van Straaten
Manon J. N. L. Benders
Maarten Lequin
Niek E. van der Aa
author_facet Kim V. Annink
Linda S. de Vries
Floris Groenendaal
Rian M. J. C. Eijsermans
Manouk Mocking
Monique M. J. van Schooneveld
Jeroen Dudink
Henrica L. M. van Straaten
Manon J. N. L. Benders
Maarten Lequin
Niek E. van der Aa
author_sort Kim V. Annink
title Mammillary body atrophy and other MRI correlates of school-age outcome following neonatal hypoxic-ischemic encephalopathy
title_short Mammillary body atrophy and other MRI correlates of school-age outcome following neonatal hypoxic-ischemic encephalopathy
title_full Mammillary body atrophy and other MRI correlates of school-age outcome following neonatal hypoxic-ischemic encephalopathy
title_fullStr Mammillary body atrophy and other MRI correlates of school-age outcome following neonatal hypoxic-ischemic encephalopathy
title_full_unstemmed Mammillary body atrophy and other MRI correlates of school-age outcome following neonatal hypoxic-ischemic encephalopathy
title_sort mammillary body atrophy and other mri correlates of school-age outcome following neonatal hypoxic-ischemic encephalopathy
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/f8daa1133c2b46cb8a2bc14dabf7dc00
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