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Updated: May 10, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Neonatal brain abnormalities and memory and learning outcomes at 7 years in children born very preterm
Cristina Omizzolo1, Shannon E Scratch, Robyn Stargatt
1a Murdoch Childrens Research Institute, Royal Children's Hospital , Parkville , VIC , Australia.
Insights
Very preterm children show deficits in memory and learning by age 7. Neonatal brain abnormalities, especially in deep grey matter, predict poorer cognitive outcomes in these children.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Very preterm birth is associated with increased risk of neurodevelopmental challenges.
- Understanding long-term cognitive outcomes in very preterm children is crucial for early intervention.
- Neonatal brain structure may offer insights into later cognitive function.
Purpose of the Study:
- To characterize memory and learning abilities in very preterm children at 7 years of age.
- To investigate the relationship between neonatal brain abnormalities and 7-year cognitive outcomes.
- To identify specific brain regions associated with memory and learning deficits in this population.
Main Methods:
- Prospective longitudinal study of 198 very preterm and 70 full-term children.
- Assessment of verbal and visual memory and learning at 7 years of age.
- Qualitative assessment of neonatal magnetic resonance imaging (MRI) for brain abnormalities.
Main Results:
- Very preterm children exhibited poorer performance in immediate memory, working memory, long-term memory, and learning compared to controls.
- Neonatal brain abnormalities, particularly deep grey-matter abnormalities, were linked to worse memory and learning outcomes.
- Cerebral neonatal pathology is a significant predictor of later memory and learning function.
Conclusions:
- Very preterm children face significant challenges in memory and learning functions.
- Neonatal brain imaging is a valuable tool for predicting cognitive development.
- Early identification of brain abnormalities can guide interventions for very preterm infants.
Abstract:
Using prospective longitudinal data from 198 very preterm and 70 full term children, this study characterised the memory and learning abilities of very preterm children at 7 years of age in both verbal and visual domains. The relationship between the extent of brain abnormalities on neonatal magnetic resonance imaging (MRI) and memory and learning outcomes at 7 years of age in very preterm children was also investigated. Neonatal MRI scans were qualitatively assessed for global, white-matter, cortical grey-matter, deep grey-matter, and cerebellar abnormalities. Very preterm children performed less well on measures of immediate memory, working memory, long-term memory, and learning compared with term-born controls. Neonatal brain abnormalities, and in particular deep grey-matter abnormality, were associated with poorer memory and learning performance at 7 years in very preterm children. Findings support the importance of cerebral neonatal pathology for predicting later memory and learning function.
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