title: Prediction of neurodevelopmental outcome in term neonates with hypoxic-ischemic encephalopathy.
abstract: BACKGROUND
  Hypoxic ischemic encephalopathy may result in many neurological deficits. It is crucial to make early diagnosis and assess the prognosis correctly.
  
  
  OBJECTIVE
  We aimed to determine the factors to evaluate the prognosis of hypoxic ischemic encephalopathy.
  
  
  METHODS
  Electroencephalography, neuroimaging, periodic neurological exams and a developmental test at 44-48 months after discharge from the hospital were performed on twenty five term newborn infants with clinical evidence of hypoxic ischemic encephalopathy.
  
  
  RESULTS
  Normal/mildly abnormal neonatal electroencephalography correlated with favorable outcome, particularly if neuroimaging was normal. The cranial MRI sensitivity was 83.3%, while the specificity was 57.9%, the positive predictive value was 38.5%, and the negative predictive value was 91.6%. Moderate/severely abnormal electroencephalography and multifocal/diffuse cortical or deep gray matter lesions correlated with poor outcome.
  
  
  CONCLUSIONS
  Newborn infants with hypoxic ischemic encephalopathy should be treated in neonatal intensive care units, assessed with periodic neurological examination, electroencephalogram and brain imaging. This would help to initiate early intervention and improve the outcome of patients.
authors.affiliation: Celal Bayar University School of Medicine, Department of Pediatric Neurology, Manisa, Turkey.
authors.forename: Muzaffer
authors.initials: M
authors.lastname: Polat
authors.forename: Ayşe
authors.initials: A
authors.lastname: Simşek
authors.forename: Nermin
authors.initials: N
authors.lastname: Tansuğ
authors.forename: Rabia G
authors.initials: RG
authors.lastname: Sezer
authors.forename: Mine
authors.initials: M
authors.lastname: Ozkol
authors.forename: Pınar
authors.initials: P
authors.lastname: Başpınar
authors.forename: Hasan
authors.initials: H
authors.lastname: Tekgül
mesh_terms: D001034:Apgar Score; D002657:Child Development / Q000502:physiology*; D002675:Child, Preschool; D004569:Electroencephalography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000150:complications / Q000175:diagnosis*; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis*; D008297:Male; D011237:Predictive Value of Tests