Multiple choice

Which of the following is the most useful tool in the prediction of neurodevelopmental outcome for a baby with moderate encephalopathy secondary to hypoxic–ischaemic encephalopathy (HIE)?

  1. Doppler assessment of the cerebral arteries

  2. Bedside amplitude integrated EEG

  3. MRI

  4. Neurological examination

  5. Cranial ultrasound

Reveal answer Fill a bubble to check yourself
C Correct answer
Explanation

The change that best predicts a bad outcome is abnormality in signal intensity in the posterior limb of the internal capsule (PLIC) and basal ganglia with 90% sensitivity and 100% specificity, and positive predictive value of 100%.