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Table 1 Summary of clinical information

From: White matter injury but not germinal matrix hemorrhage induces elevated osteopontin expression in human preterm brains

Group and Case

 

Sex

GA at birth (weeks+ days)

Postnatal age

PMA at death (weeks+ days)

Birth weight (g)

Clinical context

Infection

Neuropathology

Control

         

1

 

M

25 + 3

21 h 7 m

25 + 3

820

Ass IUGR (twin)

None

Edematous brain with transtentorial herniation of the unci, white matter patchy astrocytosis

2

 

M

23 + 6

9 h 51 m

23 + 6

520

Ass IUGR (twin)

None

Leptomeninges congested with focal hemorrhages, drop out of neurons

3

 

M

26 + 2

43 h

26 + 3

511.4

TTF (triplet), Ass IUGR, pulmonary hemorrhage

None

None

4

 

F

24 + 1

4 h 40 m

24 + 1

660

Oligohydramnios, extreme prematurity, congestive heart failure

AAAFI

None

5

 

M

23 + 4

IUD/Stillbirth

23 + 4

610

 

AAAFI

None

6

 

M

28 + 1

 < 1 h

28 + 1

1308.4

Oligohydramnios, lung hypoplasia, congestive heart failure

None

None

7

 

M

22 + 0

TOP

22 + 0

401.2

Anhydramnios, renal agenesis

None

None

WMI

         

8

 

M

24 + 0

5w 1d 8 h 25 m

29 + 1

1010

Retroplacental hemorrhage

AAAFI, necrotizing enterocolitis

PVMWI, patchy WM gliosis, oedema, laminar necrosis, and neuron loss (HI)

9

 

M

29 + 3

11 h 17 m

29 + 3

1630

TTF, hydrops fetalis

AAAFI

PVWMI, patchy reactive astrocytosis, drop out of neurons

10

 

M

26 + 5

1d 7 h 52 m

26 + 6

641.4

Ass IUGR (twin), oligohydramnios, congestive heart failure

None

PVWMI, cerebellar hemorrhages, oedema, white matter gliosis

11

 

M

24 + 6

16d 19 h 10 m

27 + 0

715.4

PPROM, acute necrotizing pneumonia

AAAFI

PVWMI, focal neuron loss (HI), drop out of neurons, oedema

12

 

M

26 + 6

2d 20 h 46 m

27 + 1

807.6

TTF

None

Oedema, degenerating neurons, perivascular hemorrhages, neuron loss, apoptotic neurons, PVL (parietal)

13

 

F

27 + 5

22d

30 + 6

1440

Placental hemorrhage, congestive heart failure with edematous

None

Extensive PVL (on MRI), mildly dilated ventricles, drop out of neurons, oedema

14

 

F

27 + 0

7d

28 + 0

858.6

IUGR, congestive heart failure

Necrotizing enterocolitis

Oedema, focal neuronal loss (HI), patchy gliosis in PVWM, PVL (on MRI) right IVH (grade II) – on cranial US

GMH

Grade

        

15

II

M

22 + 0

NND

22 + 0

476

Congestive heart failure

AAAFI/ Chorio-amnionitis

IVH/GMH, oedema, astrocytosis in white matter of dentate, focal neuronal loss in BG

16

I

M

27 + 5

10d 11 h 28 m

29 + 1

940

Congestive heart failure

AAAFI

Bilateral GMH/IVH (in situ)

17

III

M

24 + 0

4w 6d 19 h 12 m

28 + 6

596

Acute pneumonia, heart failure

AAAFI

Multiple GMH with focal rupture, oedema, patchy astrocytosis, some neuronal loss

18

I

F

26 + 2

18d

28 + 6

1126.8

Ass IUGR, congestive heart failure

Necrotizing enterocolitis

Focal GMH, hemorrhage of right cerebellum WM gliosis

19

III

M

24 + 6

53d

32 + 3

1637

Congestive heart failure

CMV (mild)

GMH, patchy WM gliosis, focal neuronal loss (HI), mild ventriculomegaly

20

II

M

22 + 5

4 h 9 m

22 + 5

530

Mild retroplacental hemorrhage

AAAFI

GMH, oedema

21

IV

F

24 + 1

2d 3 h 37 m

24 + 3

460

Prematurity, congestive heart failure, Ass IUGR

None

GMH, oedema

  1. Gestational age (GA), postmenstrual age (PMA), asymmetric intrauterine growth restriction (Ass IUGR), acute ascending amniotic fluid infection (AAAFI), white matter injury (WMI), germinal matrix hemorrhage (GMH), hypoxic-ischemic (HI), intraventricular hemorrhage (IVH), intrauterine death (IUD), periventricular white matter injury (PVWMI), periventricular leukomalacia (PVL), preterm premature rupture of the membranes (PPROM), termination of pregnancy (TOP), Twin-Twin Transfusion (TTF), neonatal death (NND). *Drop out of neurons refers to Ammons’s horn, Purkijne cells, and dentate. GMH grades: I: hemorrhage confined to the GM, II: intraventricular extension involving ˂50% of the ventricle, III: extension of hemorrhage into a dilated ventricle or intraventricular extension involving ˃50% of the ventricle, IV: extension of hemorrhage into the surrounding parenchyma