The significance of corpus callosal size in the estimation of neurologically abnormal infants.
10.3345/kjp.2008.51.11.1205
- Author:
Seung Taek YU
1
;
Chang Woo LEE
Author Information
1. Department of Pediatrics, Wonkwang University College of Medicine , Iksan, Korea. chan33@wonkwang.ac.kr
- Publication Type:Original Article
- Keywords:
Corpus callosum;
Hypoxia-ischemia;
Brain;
Leukomalacia;
Periventricular
- MeSH:
Brain;
Corpus Callosum;
Epilepsy;
Humans;
Hypoxia, Brain;
Hypoxia-Ischemia, Brain;
Infant;
Infant, Newborn;
Leukomalacia, Periventricular;
Magnetic Resonance Imaging;
Myelin Sheath;
Nervous System Diseases;
Sample Size
- From:Korean Journal of Pediatrics
2008;51(11):1205-1210
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The development of the corpus callosum occupies the entire period of cerebral formation. The myelination pattern on magnetic resonance imaging (MRI) is very useful to evaluate neurologic development and to predict neurologic outcome in high risk infants. The thickness of the corpus callosum is believed to depend on the myelination process. It is possible to calculate the length and thickness of the corpus callosum on MRI. Thus, we can quantitatively evaluate the development of the corpus callosum. We investigated the clinical significance of measuring various portions of the corpus callosum in neonate with neurologic disorders such as hypoxic brain damage and seizure disorder. METHODS: Forty-two neonates were evaluated by brain MRI. We measured the size of the genu, body, transitional zone, splenium, and length of the corpus callosum. Each measurement was divided by the total length of the corpus callosum to obtain its corrected size. The ratio of corpus callosal length and the anteroposterior diameter of the brain was also measured. RESULTS: There was no statistical significance in the sample size of each part of the corpus callosum. However, the corrected size or the ratio of body of the corpus callosum correlated with periventricular leukomalacia and hypoxic ischemic encephalopathy. CONCLUSION: There was no statistical significance in the sample size of each part of the corpus callosum. However, the corrected size or the ratio of body of the corpus callosum correlated with periventricular leukomalacia and hypoxic ischemic encephalopathy.
