A study of neurosonogram abnormalities, clinical correlation with neurosonogram findings, and immediate outcome of high-risk neonates in Neonatal Intensive Care Unit.
A study of neurosonogram abnormalities, clinical correlation with neurosonogram findings, and immediate outcome of high-risk neonates in Neonatal Intensive Care Unit.
复制标题
神经显影异常，与神经图像函数发现的临床相关性以及新生儿重症监护病房中高危新生儿的直接结局。
DOI：
10.4103/1817-1745.193367
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发表时间：
2016-07
影响因子：
0.5
通讯作者：
Berwal A
中科院分区：
文献类型：
--
作者：
Nagaraj N;Berwal PK;Srinivas A;Sehra R;Swami S;Jeevaji P;Swami G;Choudary L;Berwal A
新生儿脑部超声检查现在是新生儿护理的重要组成部分，特别是在高危和不稳定的早产儿中。头颅超声是最有效和最容易重复的新生儿脑成像技术，可以显示早产儿和足月儿的脑发育和最常见的脑损伤形式。本研究旨在评估头颅超声作为高危新生儿检查手段的重要性，并找出各种脑部病变的形态及临床相关性。在比卡内尔的Sardar Patel医学院进行了一项观察性相关性临床研究，包括100名住在新生儿重症监护病房(NICU)的高危新生儿，他们按方案在选定的日期接受神经超声检查。记录围产期详细情况，并进行临床检查和适当的调查。进行头颅超声检查，研究并记录各种表现的形态。并与头颅超声表现及随访结果进行临床对照分析。头颅超声检查，38%的新生儿有异常发现。其中12%有颅内出血，13%有脑室周围回声，7%有脑室增大，2%有脑水肿，1%有白质软化。3例新生儿表现为单纯性颅中窝囊肿、痂状体发育不全和脉络丛囊肿。头颅超声是高危新生儿最好的神经影像检查方法。它在NICU中作为一种研究方式是至关重要的，并有效地记录了脑损伤的形态。
Neonatal sonography of the brain is now an essential part of newborn care, particularly in high risk and unstable premature infants. Cranial ultrasound is the most available and easily repeatable imaging technique for the neonatal brain showing brain development and the most frequently occurring forms of cerebral injury in the preterm and terms. This study aims to assess the importance of cranial ultrasound as an investigatory modality for high-risk neonates and to find out the morphology of various cerebral lesions and correlate clinically. An observational correlation clinical study was conducted at Sardar Patel Medical College, Bikaner involving 100 high-risk neonates admitted to Neonatal Intensive Care Unit (NICU) who was subjected to neurosonography on selected days as per protocol. Perinatal details were recorded, and clinical examination with appropriate investigations was done. The cranial ultrasound was done, and morphology of various findings was studied and recorded. Clinical correlation with cranial ultrasound findings and follow-up was done. On cranial ultrasound, 38% of neonates had abnormal findings. Twelve percent of these had evidence of intracranial bleed, 13% periventricular echogenicity, 7% had ventriculomegaly, 2% had cerebral edema, and 1% had leukomalacia. Three neonates had findings suggestive of simple cyst in middle cranial fossa, agenesis of corpus callosum, and choroid plexus cyst. Cranial ultrasonography is the best point of care neuroimaging method available for high-risk neonates. It is critical as an investigatory modality in NICU and effectively documents morphology of cerebral damage.