Evidence map›Paper›PMID 39289590›Full record

ArticlePediatric research2025

Elevated cerebral perfusion in neonatal encephalopathy is associated with neurodevelopmental impairments.

Ruth O'Gorman Tuura, Raimund Kottke, Barbara Brotschi, Carola Sabandal, Cornelia Hagmann, Beatrice Latal

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Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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3citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Ruth O'Gorman TuuraCenter for MR Research, University Children's Hospital Zürich, University of Zürich (UZH), Zürich, Switzerland. Ruth.tuura@kispi.uzh.ch.
Raimund KottkeChildren's Research Center, University Children's Hospital Zürich, University of Zürich (UZH), Zürich, Switzerland.
Barbara BrotschiChildren's Research Center, University Children's Hospital Zürich, University of Zürich (UZH), Zürich, Switzerland.
Carola SabandalChildren's Research Center, University Children's Hospital Zürich, University of Zürich (UZH), Zürich, Switzerland.
Cornelia HagmannChildren's Research Center, University Children's Hospital Zürich, University of Zürich (UZH), Zürich, Switzerland.
Beatrice LatalChildren's Research Center, University Children's Hospital Zürich, University of Zürich (UZH), Zürich, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonatal encephalopathy (NE) represents a primary cause of neonatal death and neurodevelopmental impairments. In newborns with NE, cerebral hyperperfusion is related to an increased risk of severe adverse outcomes, but less is known about the link between perfusion and mild to moderate developmental impairments or developmental delay.

methodsUsing arterial spin labelling perfusion MRI, we investigated the link between perfusion in 36 newborns with NE and developmental outcome at 2 years.

results53% of the infants demonstrated a normal outcome at 24 months, while two had cerebral palsy with impairments in cognitive, motor, and language domains, and three infants died. The remaining infants showed mild or moderate delays in development in one or two domains. Hyperperfusion across the whole brain was associated with more adverse outcome, including an increased risk of death or severe disability such as cerebral palsy. Among the surviving infants, higher perfusion in the bilateral basal ganglia, thalamus, hippocampus and cerebellum during the neonatal period was related to a poorer cognitive outcome at 2 years.

conclusionHyperperfusion in infants with NE was associated with a more adverse outcome and lower cognitive outcome scores. In addition to severe adverse outcomes, altered perfusion is also related to mild to moderate impairment following HIE. IMPACT STATEMENT: Neonates with neonatal encephalopathy (NE) show increased cerebral perfusion globally, which is linked to a more adverse outcome. Higher perfusion in the bilateral basal ganglia, thalamus, hippocampus and cerebellum during the neonatal period was related to a poorer cognitive outcome at 2 years. In addition to severe adverse outcomes altered perfusion is related to mild to moderate impairment following NE. To improve neurodevelopmental outcomes, it is important to improve our understanding of the factors influencing cerebral perfusion in infants with NE.

Indexed as

BrainBrain DiseasesCerebrovascular CirculationDevelopmental DisabilitiesNeurodevelopmental DisordersCerebral PalsyChild, PreschoolCognitionFemaleHumansInfantInfant, NewbornMagnetic Resonance ImagingMaleSpin LabelsSpin Labels

Identifiers

PMID39289590
PMCPMC12119360

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.