PMID- 22447491 OWN - NLM STAT- MEDLINE DCOM- 20121030 LR - 20211021 IS - 1433-0350 (Electronic) IS - 0256-7040 (Print) IS - 0256-7040 (Linking) VI - 28 IP - 7 DP - 2012 Jul TI - Brain volume and shape in infants with deformational plagiocephaly. PG - 1083-90 LID - 10.1007/s00381-012-1731-y [doi] AB - PURPOSE: Infants with deformational plagiocephaly (DP) have been shown to exhibit developmental delays relative to unaffected infants. Although the mechanisms accounting for these delays are unknown, one hypothesis focuses on underlying differences in brain development. In this study, we used MRI to examine brain volume and shape in infants with and without DP. METHODS: Participants included 20 infants with DP (mean age = 7.9 months, SD = 1.2; n = 12 male) and 21 controls (mean age = 7.9 months, SD = 1.3; n = 11 male). Measures included volumes of the total brain and cerebellum; midsagittal areas of the corpus callosum and cerebellar vermis; and linear distance measures used to quantify the shape of selected brain structures. We also evaluated the association between shape measures and developmental scores on the Bayley Scales of Infant and Toddler Development-III (BSID-III). RESULTS: Brain volume did not distinguish cases and controls (p = .214-.976). However, cases exhibited greater asymmetry and flattening of the posterior brain (p < .001-.002) and cerebellar vermis (p = .035), shortening of the corpus callosum (p = .012), and differences in the orientation of the corpus callosum (p = .005). Asymmetry and flattening of brain structures were associated with worse developmental outcomes on the BSID-III. CONCLUSIONS: Infants with DP show differences in brain shape, consistent with the skull deformity characteristic of this condition, and shape measures were associated with infant development. Longitudinal studies, beginning in the neonatal period, are needed to clarify whether developmental effects precede or follow brain deformation. FAU - Collett, Brent R AU - Collett BR AD - Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA. bcollett@u.washington.edu FAU - Aylward, Elizabeth H AU - Aylward EH FAU - Berg, Jessica AU - Berg J FAU - Davidoff, Candice AU - Davidoff C FAU - Norden, Justin AU - Norden J FAU - Cunningham, Michael L AU - Cunningham ML FAU - Speltz, Matthew L AU - Speltz ML LA - eng GR - R01 HD046565/HD/NICHD NIH HHS/United States GR - UL1 RR025014/RR/NCRR NIH HHS/United States GR - 1 R01 HD046565/HD/NICHD NIH HHS/United States GR - 1 UL1 RR025014/RR/NCRR NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20120325 PL - Germany TA - Childs Nerv Syst JT - Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery JID - 8503227 SB - IM MH - Age Factors MH - Brain/*growth & development/*pathology MH - Developmental Disabilities/*pathology MH - Female MH - Humans MH - Image Processing, Computer-Assisted MH - Infant MH - Magnetic Resonance Imaging MH - Male MH - Plagiocephaly, Nonsynostotic/*pathology MH - Severity of Illness Index PMC - PMC3393042 MID - NIHMS386283 EDAT- 2012/03/27 06:00 MHDA- 2012/10/31 06:00 PMCR- 2013/07/01 CRDT- 2012/03/27 06:00 PHST- 2012/02/07 00:00 [received] PHST- 2012/02/21 00:00 [accepted] PHST- 2012/03/27 06:00 [entrez] PHST- 2012/03/27 06:00 [pubmed] PHST- 2012/10/31 06:00 [medline] PHST- 2013/07/01 00:00 [pmc-release] AID - 10.1007/s00381-012-1731-y [doi] PST - ppublish SO - Childs Nerv Syst. 2012 Jul;28(7):1083-90. doi: 10.1007/s00381-012-1731-y. Epub 2012 Mar 25.