Table 1 Summary of clinical and MRI features
| Case | GA, wk | Clinical features | MRI findings (day of MRI) | Outcome |
|---|---|---|---|---|
| GA = gestational age; C/S = cesarean section; MCA = middle cerebral artery; MDI = Bayley Scales of Infant Development Mental Index; PROM = prolonged rupture of membrane. | ||||
| 1 | 40/Male | 31-year-old mother, primigravid, with gestational diabetes; C/S secondary to prolonged stage 2 of labor, large for gestational age infant (3800/g), meconium stained | Left MCA fronto-parietal infarct (8) | MDI = 63 |
| 2 | 41/Male | 19-year-old mother, primigravid, with chorioamnionitis; spontaneous vaginal delivery after PROM (44 h) | Left MCA fronto-parieto-occipital infarct (4) | MDI = 83 |
| 3 | 40/Male | 24-year-old mother without maternal complications; C/S for failed vacuum extraction, meconium staining | Right MCA infarct with parietal lobe and basal ganglia involved. Bilateral intravascular watershed zone (3) | MDI = 53, spastic quadriparesis |
| 4 | 41/Male | 20-year-old mother, primigravid, with peripartum fever treated with antibiotics; C/S for failure of progress, late decelerations, PROM (18 hours), large for gestational age infant (4500 g), meconium aspiration syndrome | Left MCA posterio r frontal infarct (10) | MDI < 50 |
| 5 | 39/Male | 37-year-old mother with history of hepatitis B and herpes simplex virus infection; spontaneous vaginal delivery with prolonged second stage of labor, meconium aspiration syndrome | Right MCA with temporal infarct. Bilateral intravascular watershed zone injury (5) | MDI < 50 |
| 6 | 41/Female | 43-year-old mother, primigravid, with Graves disease; C/S for late decelerations and variable decelerations | Superior sagittal sinus thrombosis. Parieto-occipital infarcts extensive on right and limited to occipital pole on left (9) | MD I < 50, left spastic hemiparesis |