Correlation of Corpus Callosal Morphometry with Cognitive and Motor Function in Periventricular Leukomalacia

C. Davatzikos, A. Barzi, T. Lawrie, A. H. Hoon, Elias R. Melhem

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: We aim to correlate size and shape of corpus callosum with severity of motor and cognitive impairments in children with periventricular leukomalacia (PVL). Methods: Children with PVL were stratified based on the severity of their motor and cognitive impairments. An age-matched control group was established. The corpus callosum was identified on mid-sagittal T 1-weighted spin-echo (TR/TE: 550/15) MR images. The shape characteristics of the corpus callosum were measured with respect to a template via a shape transformation. The degree of callosal-shape transformation was quantified by a deformation function, which in turn was compared, using point-wise t-tests, for controls versus patients, diplegic versus quadriplegic patients, and patients with mild versus severe cognitive impairment. Results: 29 children with spastic cerebral palsy and PVL and 32 age-matched controls were identified. In the PVL group, the entire corpus callosum was significantly smaller than in the control group (p value = 0.001). Significant differences existed in the shape of the corpus callosum between patients with diplegic versus quadriplegic and between patients with severe versus mild cognitive impairment. Conclusion: Global and regional corpus callosal morphology can be quantified using deformation functions.

Original languageEnglish (US)
Pages (from-to)247-252
Number of pages6
JournalNeuropediatrics
Volume34
Issue number5
DOIs
StatePublished - Oct 2003
Externally publishedYes

Keywords

  • Cerebral palsy
  • Cognitive function
  • Corpus callosum
  • Morphometry
  • Motorfunction
  • Periventricular leukomalacia

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology

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