Cranial Sonography in Preterm Infants with Short Review of Literature.
Cranial Sonography in Preterm Infants with Short Review of Literature.
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DOI：
10.4103/jpn.jpn_60_17
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发表时间：
2018-04
影响因子：
0.5
通讯作者：
Khurana O
中科院分区：
文献类型：
--
作者：
Diwakar RK;Khurana O
早产儿会遭受多种脑部病变，这些病变在临床上是无症状的，这支持了脑部超声筛查的可能作用。该研究的目的是描述早产儿颅骨超声异常的模式，定义短期和长期神经系统结果。在第1、3、7天进行医院床旁颅骨超声检查，并在放射诊断科进行3-6个月的随访扫描。其中包括一百名婴儿。早产儿头颅超声检查发现的不同异常包括脑积水12%、颅内出血6%、脑水肿6%、脑室周围白质软化2%、脉络丛囊肿1%、室间隔1%、结肠头畸形1%。胎龄、新生儿出生体重和神经系统症状是检测脑部病变的最重要的危险因素。颅脑超声检查的主要目的是证实或排除早产儿的颅内出血。
Premature newborn infants are exposed to a wide spectrum of brain lesions which are clinically silent supporting a possible role of cerebral ultrasound screening. Aim of the study is to describe the pattern of cranial ultrasound abnormalities in preterm infants defining the short term and long term neurologic outcomes. A hospital-based bedside cranial ultrasound was carried out at day 1, 3, 7 and follow-up scan at 3-6 months in the Department of Radio-diagnosis. One hundred infants were included. The different abnormalities detected in cranial ultrasound of premature newborn infants include hydrocephalus in 12%, intracranial hemorrhage in 6%, brain edema in 6%, periventricular leukomalacia in 2%, choroid plexus cyst in 1%, intraventricular septa in 1% and colocephaly in 1%. Gestational age, newborn birth weight and neurologic symptoms were the most important risk factors for detecting brain lesions. The main purpose of cranial ultrasound was the demonstration or exclusion of an intracranial hemorrhage in a preterm neonate.