Correlation between visual function, neurodevelopmental outcome, and magnetic resonance imaging findings in infants with periventricular leucomalacia
Giovanni Cionia, Barbara Bertuccellia, Antonio Boldrinib, Raffaello Canapicchia c, Barbara Fazzia, Andrea Guzzettaa, Eugenio Mercurid
a Stella Maris
Scientific Institute, Division of Child Neurology and Psychiatry, Via
dei Giacinti 2, I-56018 Calambrone, Pisa, Italy, b Neonatal Intensive Care Unit,
University of Pisa, c Department
of Neuroradiology, S Chiara Hospital, Pisa, Italy, d Department
of Paediatrics and Neonatal Medicine, Imperial College, Hammersmith
Hospital, London, UK
Correspondence to: Dr Cioni email: ciono{at}inpe.unipi.it
Accepted 13 August 1999
AIM
To evaluate the
correlation between visual function and neurodevelopmental outcome in
children with periventricular leucomalacia at 1 and 3 years.
METHOD
Visual acuity,
visual field, ocular motility, and optokinetic nystagmus were tested in
29 infants with periventricular leucomalacia by brain magnetic
resonance imaging. All infants also had a structured neurological
examination and a Griffiths developmental assessment.
RESULTS
21 of the
infants showed at least one abnormality of visual function. The degree
of visual impairment
that is, the number of visual tests showing
abnormal results
correlated well with the results on developmental
assessment at both ages.
CONCLUSION
Multivariate
analysis showed that visual impairment was the most important
variable in determining the neurodevelopmental scores of these infants,
more than their motor disability and the extent of their lesions on
magnetic resonance imaging.
Keywords: vision; developmental score; magnetic resonance imaging; periventricular leucomalacia
© 2000 by Archives of Disease in Childhood
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