Objective To analyze cerebellum development with gestational age and to evaluate clinical early cerebellum development, by means of cranial ultrasound to measure the neonatal cerebellum for gestational age of 25 to 41 weeks on the day of birth. Methods Three hundred and eighteen eligible cranial ultrasound images of neonates of appropriate for gestational age from 25 to 41 weeks were selected. Transverse cerebellar diameter, vermis height, vermis diameter, vermis circumference and vermis area were measured for statistical analysis. Results Transverse cerebellar diameter formed a linear equation with the gestational age, which was Y=0.1036X+0.1929 (R2=0.727,P<0.001). Vermis height formed a linear equation with the gestational age, which was Y=0.069X-0.3156 (R2=0.823,P<0.001). Vermis diameter formed a linear equation with the gestational age, which was Y=0.0509X-0.5798 (R2=0.735,P<0.001). Vermis circumference formed a linear equation with the gestational age, which was Y=0.2811X-1.5932 (R2=0.782,P<0.001). Vermis area formed a linear equation with the gestational age, which was Y=0.2283X-4.4559 (R2=0.817,P<0.001). The vermis height had the strongest positive correlation with the gestational age (r=0.907,P<0.001). Conclusions The results of this study provide that the cerebellar extrauterine reference range among transverse cerebellar diameter, vermis height, vermis diameter, vermis circumference, vermis area of neonates of appropriate for gestational age and gestational age, which is helpful for clinical diagnosis and evaluation of cerebellum growth and development of newborns.
Key words
  /
Cerebellum /
Cranial ultrasound /
Neonatal infants /
Gestational age
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 丁文龙, 刘学政. 系统解剖学. 9版. 北京:人民卫生出版社, 2018: 356-360.
[2] Beckinghausen J, Sillitoe R V. Insights into cerebellar development and connectivity [J]. Neuroscience Letters, 2019, 688:2-13. DOI: 10.1016/j.neulet.2018.05.013
[3] Keunen K, Isgum I, van Kooij B J, et al. Brain Volumes at Term-Equivalent Age in Preterm Infants: Imaging Biomarkers for Neurodevelopmental Outcome through Early School Age [J]. Journal of Pediatrics, 2016, 172:88-95. DOI: 10.1016/j.jpeds.2015.12.023
[4] Wang S H , Kloth A , Badura A . The Cerebellum, Sensitive Periods, and Autism[J]. Neuron, 2014, 83(3):518-532. DOI: 10.1016/j.neuron.2014.07.016
[5] Brossard-Racine M, Du Plessis A J, Limperopoulos C. Developmental Cerebellar Cognitive Affective Syndrome in Ex-preterm Survivors Following Cerebellar Injury[J]. The Cerebellum, 2015, 14(2):151-164. DOI: 10.1007/s12311-014-0597-9
[6] Kipping J A , Yingyao X , Anqi Q . Cerebellar development and its mediation role in cognitive planning in childhood[J]. Human Brain Mapping, 2018,39(12): 5074-5084. DOI: 10.1002/hbm.24346
[7] Koning I V, Dudink J, Groenenberg I A L, et al. Prenatal cerebellar growth trajectories and the impact of periconceptional maternal and fetal factors[J]. Human Reproduction, 2017, 32(6): 1230-1237. DOI: 10.1093/humrep/dex079
[8] Hernandez-Castillo C R, Limperopoulos C, Diedrichsen, Jorn. A representative template of the neonatal cerebellum[J]. NeuroImage, 2019, 184:450-454. DOI: 10.1016/j.neuroimage.2018.09.048
[9] Martinez S , Andreu A , Mecklenburg N , et al. Cellular and molecular basis of cerebellar development[J]. Frontiers in Neuroanatomy, 2013, 7:18. DOI: 10.3389/fnana.2013.00018
[10]Shakiba, Alia. The Role of the Cerebellum in Neurobiology of Psychiatric Disorders[J]. Neurologic Clinics, 2014, 32(4):1105-1115. DOI: 10.1016/j.ncl.2014.07.008
[11]Koning I V , Groenenberg I A L , Gotink A W , et al. Periconception Maternal Folate Status and Human Embryonic Cerebellum Growth Trajectories: The Rotterdam Predict Study[J]. PLOS ONE, 2015, 10(10): e0141089. DOI: 10.1371/journal.pone.0141089
[12] Imamoglu E Y , Gursoy T , Ovali F , et al. Nomograms of cerebellar vermis height and transverse cerebellar diameter in appropriate-for-gestational-age neonates[J]. Early Human Development, 2013, 89(12):919-923. DOI: 10.1016/j.earlhumdev.2013.10.00
[13] 陈晓康, 吕国荣, 李敏, 等. 经颅超声观测新生儿小脑蚓部及其临床意义[J]. 临床超声医学杂志, 2015, 17(6):392-394. DOI: CNKI:SUN:LCCY.0.2015-06-013
[14] 李冠, 肖连祥, 渐楠, 等. 孕中晚期胎儿小脑生长发育规律及其与单纯后颅窝池增宽关系MRI研究[J]. 中国临床解剖学杂志, 2018, 36(5):495-499. DOI: 10.13418/j.issn.1001-165x.2018.05.004
[15] 刘菲, 刘树伟, 李振平, 等. 孕中晚期胎儿小脑形态发育的MRI研究[J]. 中国临床解剖学杂志, 2015, 33(4):399-402. DOI: 10.13418/j.issn.1001-165x.2015.04.006
[16] 王彤, 张军. 正常胎儿小脑蚓部发育MRI评价[J]. 磁共振成像, 2018, 9(1):27-32. DOI: 10.12015/jssn.1674-8034.2018.01.006