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KMID : 0361420020260030273
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Journal of Korean Academy of Rehabilitation Medicine
2002 Volume.26 No. 3 p.273 ~ p.278
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Correlation of Periventricular Leukomalacia on the Brain MRI and the Denver Ⅱ and Capute Developmental Test
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권범선/Bum Sun Kwon
이성재/주형욱/김승철/Seong Jae Lee/Hyung Wook Joo/Seung Cheol Kim
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Abstract
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Objective: This study was designed to evaluate the correlation of periventricular leukomalacia (PVL) on brain MRI and Denver Ⅱ and Capute developmental test.
Method: Thirty children with PVL on brain MRI showing delayed development were included. The severity of PVL was graded as localized/generalized lesion in three fields; periventricular hyperintensity in T2 weighted image (PVHI in T2WI),
reduced
volume of cerebral white matter (RV of CWM), ventriculomegaly with periventricular wall irregularity (VM with PVWI). Development quotients were obtained by Denver Ⅱ and Capute test, and assessed according to the severity of PVL.
Results: Although language, fine motor-adaptive, personalsocial scale of Denver Ⅱ and cognitive-adaptive and clinical linguistic and auditory milestone of Capute test had little correlation with severity of PVL, gross motor developmental
scale
assessed by Denver Ⅱ had a certain degree of correlation with severity of PVL which was not significant statistically. The gross motor developmental scale of the nineteen preterm births had a significant correlation with VM with PVWI, but the
other
developmental scales still had no significant correlation with PVL.
Conclusion: As for the children with delayed development the degree of motor development was a significant predictor of the PVL on brain MRI, but those of language and cognitive development were not.
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