PROGNOSTICATING CLINICAL OUTCOME IN NEONATES WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY BY MRI

Dr Aarti Anand; Dr Amit Disawal; Dr G. Vignesh

Volume : X, Issue : II, February - 2020

PROGNOSTICATING CLINICAL OUTCOME IN NEONATES WITH HYPOXIC ISCHEMIC ENCEPHALOPATHY BY MRI

Dr Aarti Anand, Dr Amit Disawal, Dr G. Vignesh

Abstract :

Background: MRI is an unparalleled study in the evaluation of hypoxic ischemic encephalopathy. But the literature regarding the clinical correlation of MRI findings with the final clinical outcome using DDST II (DENVER DEVELOPMENTAL SCREENING TEST) are lacking. Objective: To correlate the MRI findings in hypoxic ischemic encephalopathy with clinical outcome after one year. Methodology: 75 patients were subjected to 1.5T MR imaging followed by which patients were examined for growth & development and a detailed neurodevelopmental assessment according to DDST II for one year. Observations: Sensitivity, specificity, PPV, NPV and accuracy of MRI compared to clinical outcome at the end of one year. Conclusion: MRI is superior imaging modality in the evaluation of neonatal hypoxic ischemic encephalopathy. There is a strong and consistent correlation between the various MRI findings and the clinical outcome