Alberta infant motor scale, head MRI, and brainstem auditory evoked potential in prediction of high-risk infants with cerebral palsy

Abstract

Objective To study the neurodevelopmental predictive value of Alberta infant movement scale (AIMS), head magnetic resonance imaging (MRI), and brainstem auditory evoked potential (BAEP) for high risk infants with cerebral palsy. Methods From June 2015 to June 2016, 586 high-risk infants with cerebral palsy discharged from the NICU of our hospital and followed up by Department of Children's Nerve Rehabilitation were evaluated the motor development by AIMS and took line head MRI and BAEP examinations 3 months after discharge. According to the disease history and examination results, the infants with high risk of cerebral palsy took early intervention treatment and other high-risk infants were followed up regularly. Results Finally, 114 infants were diagnosed with cerebral palsy; so the incidence of cerebral palsy was 19.45%. In the children with cerebral palsy, the abnormal rate by AIMS was 90.35%, that by head MRI 84.21%, and that by BAEP 78.95%. In children with cerebral palsy, the abnormal rate by AIMS was 21.23%, that by head MRI 15.08%, and that by BAEP 12.84%. The analysis of the correlation of incidence of cerebral palsy with AIMS, head MRI, and BAEP abnormal rates showed that all had significant correlations (P<0.01), and the correlation coefficients were 0.692, 0.703, and 0.676. Conclusions The occurrence of cerebral palsy closely relates with AIMS, head MRI, and BEAP abnormal rates. The combination of the three can provide some references for the diagnosis and treatment. Key words: AIMS; Head MRI; BAEP; High-risk infants with cerebral palsy