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Vol. 8 No. 10, October 2007
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NeoReviews Vol.8 No.10 2007 e409
© 2007 American Academy of Pediatrics

Injury to the Developing Cerebellum

Mechanisms and Consequences

Catherine Limperopoulos, PhD*
Adré J. du Plessis, MBChB, MPH{dagger}

* Canada Research Chair in Brain and Development; Assistant Professor, Department of Neurology and Neurosurgery, School of Physical and Occupational Therapy, and Department of Pediatrics, McGill University, Montreal, Quebec, Canada; Fetal-Neonatal Neurology Research Group, Children's Hospital Boston, Boston, Mass
{dagger} Senior Associate in Neurology; Director, Fetal-Neonatal Neurology Research Group, Children's Hospital Boston; Associate Professor of Neurology, Harvard Medical School, Boston, Mass

Advances in neuroimaging techniques for the in vivo study of brain development have expanded the understanding of normal and abnormal cerebellar development in the high-risk fetus and newborn. This, in turn, has provided new insights into the spectrum of structural and functional consequences of injury to the developing cerebellum. Specifically, hemorrhagic cerebellar lesions in preterm infants are associated with significant impairment of subsequent cerebellar growth as well as impaired growth of the contralateral cerebral hemisphere. Furthermore, preterm extrauterine life appears to inhibit cerebellar growth, even in the absence of obvious primary injury. Recent long-term outcome studies in preterm infants who had cerebellar injury suggest a distinct profile of pervasive neurodevelopmental deficits, with a high prevalence of cognitive-behavioral dysfunction. The structure-function relationships between early cerebellar injury and long-term outcome are a fertile area for future research.







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Copyright © 2007 by the American Academy of Pediatrics.