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Fig. 15 | Insights into Imaging

Fig. 15

From: Cortical ischaemic patterns in term partial-prolonged hypoxic-ischaemic injury—the inter-arterial watershed demonstrated through atrophy, ulegyria and signal change on delayed MRI scans in children with cerebral palsy

Fig. 15

ac MRI imaging in a 5-year-old girl who sustained a severe partial-prolonged hypoxic-ischaemic injury at term gestation. The sequential FLAIR images from the vertex (a) to the level of the lateral ventricle bodies (b) demonstrates severe volume loss of both cortex and subcortical white matter extending to involve the deep white matter of the entire cerebral hemisphere bilaterally, with only a strip of periventricular white matter remaining and showing abnormal high signal throughout. There is also prominent ulegyria (arrows) of the watershed continuum from anterior, over the vertex, through the peri-Sylvian region, and into the posterior watershed. The sagittal midline T1-weighted image (c) demonstrates corresponding corpus callosum thinning throughout its length (arrows)

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