Are diffusion-weighted imaging changes in cerebral watershed distribution following neonatal encephalopathy invariably associated with an adverse outcome?
Extensive DWI changes in a watershed distribution in term-born neonates are not invariably associated with adverse sequelae, even in the presence of cystic evolution. Associated lesions of the basal ganglia and thalami are a better predictor of adverse sequelae than the extent and severity of the watershed abnormalities seen on DW-MRI.
Although subjective ratings by wheelchair users and their therapists provide excellent and good estimates respectively of overall manual wheelchair abilities, objective testing should be performed when accurate assessments of many specific manual wheelchair skills are required.