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
- aStella Maris Scientific Institute, Division of Child Neurology and Psychiatry, Via dei Giacinti 2, I-56018 Calambrone, Pisa, Italy, bNeonatal Intensive Care Unit, University of Pisa, cDepartment of Neuroradiology, S Chiara Hospital, Pisa, Italy, dDepartment of Paediatrics and Neonatal Medicine, Imperial College, Hammersmith Hospital, London, UK
- Dr Cioni email:ciono{at}inpe.unipi.it
- Accepted 13 August 1999
Abstract
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.
