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Archives of Disease in Childhood - Fetal and Neonatal Edition 2000;82:F134-F140; doi:10.1136/fn.82.2.F134
Copyright © 2000 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child Fetal Neonatal Ed 2000;82:F134-F140 ( March )

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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