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Society for Pediatric Radiology – Poster Archive


Hii
Showing 2 Abstracts.

Chacko Anith,  Andronikou Savvas,  Goncalves Fabricio,  Vedajallam Schadie,  Thai Ngoc Jade

Final Pr. ID: Paper #: 132

Hypoxic ischemic injury (HII) is a leading cause of neonatal encephalopathy and resultant cerebral palsy. Most studies focus on early magnetic resonance imaging (MRI) findings and patterns of injury, with few studies evaluating patterns in delayed MRI of patients with cerebral palsy.

We aim to categorise the delayed imaging MRI findings and distribution of abnormalities in a large cohort of children with cerebral palsy and obtained for medicolegal purposes to determine the causes of cerebral palsy, and to map the frequency of anatomic involvement in those with hypoxic ischemic injury.
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Authors:  Chacko Anith , Andronikou Savvas , Goncalves Fabricio , Vedajallam Schadie , Thai Ngoc Jade

Keywords:  hypoxic ischaemic injury, HII, Patterns of hypoxic ischemic injury

Venkatakrishna Shyam Sunder,  Elsingergy Mohamed,  Worede Fikadu,  Andronikou Savvas

Final Pr. ID: Poster #: SCI-012

Perinatal Hypoxic Ischemic Injury (HII) has a higher prevalence in the developing world. One of the primary concepts for suggesting that an imaging pattern reflects a global insult to the brain is when the injury is noted to be bilateral and symmetric in distribution. In the context of HII in term neonates, this is either bilateral symmetric (a) peripheral/watershed injury (WS) or (b) bilateral symmetric Basal-ganglia-thalamus (BGT) pattern, often with the peri-Rolandic and hippocampal injury. Unilateral, asymmetric or unequal distribution of injury may therefore be misdiagnosed as perinatal arterial ischemic stroke. This has been previously reported in the typical distribution patterns, without a clear indication of the prevalence. We aimed to determine the prevalence of unilateral, asymmetric and unequal degree HII and to characterize the distribution on MRI in a large database of patients with Cerebral Palsy (CP) from South Africa. Read More

Authors:  Venkatakrishna Shyam Sunder , Elsingergy Mohamed , Worede Fikadu , Andronikou Savvas

Keywords:  Hypoxic Ischemic Injury (HII), Basal-ganglia-thalamus and Watershed, Unilateral, Asymmetric or Unequal distribution