Title: Role of Neurosonogram in Evaluation of Brain Injuries in Preterm Babies
Authors: Dr D.Anbukumar, Dr Adaikappan.M
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.198
Abstract
Background and Objectives: Neuro developmental abnormalities was very common in premature neonates due to incomplete development of the central nervous system. Neurosonogram is a sensitive tool for detecting these abnormalities earlier. Hence, this study was done to identify various cerebral lesions in the preterm babies.
Methods: A total of 50 preterm babies, referred to Department of Radio diagnosis for cranial ultrasonography were included in the study.
Results: Among 50 babies, 39 (78%) showed normal study and remaining 11 (22%) showed abnormal scan of which Subependymal/ Intraventricular haemorrhage (SEH/IVH) 16% was very common and Periventricular echogenicity (PVE) 6 %.
Conclusion: Neurosonogram is cost effective, non-invasive, non-ionizing and helps in early detection of various cerebral lesions.
Keywords: preterm babies; SEH/IVH; periventricular leukomalacia; perventricular cystic changes.
References
- Martin JA, Hamilton BE, Ventura SJ, Menacker F, Park MM. Births : final data for 2000. Natl Vital Stat Rep. 2002;50:1-101
- Rumack CM, Drose JA. Neonatal and infant brain imaging. In: Diagnostic ultrasound. 4th Philadelphia, Elsevier, Mosby; 2011.p.1558-163
- Chao P, Christopher, Zale ski, Alice C, Patton. Neonatal Hypoxic Ischemic Encephalopathy. Multimodality Imaging Findings.Radiographics 2006; 26: S 159-17.
- Mack LA, Wright K, Hirsch JH, Alvord EC, Guthrie RD, Shuman WP, Rogers JV, Bolender NF. Intracranial hemorrhage in premature infants: Accuracy of sonographic evaluation; AJR 1981; 137: 245-250.
- Dolfin T, Martin BS, Katherin WF, Elizabeth MH and Andrew TS, Incidence severity and timing of subependymal and intraventricular hemorrhages in preterm infants born in a perinatal unit as detected by serial real-time ultrasound. Pediatrics 1983; 71(4):541-546.
- Rumack CM, Manco-Johnson ML, Manco-Johnson MJ, Koops BL, Hathaway WE, Kevin A. Timing and course of neonatal intracranial hemorrhage using real time ultrasound; Radiology 1985; 154: 101-105.
- Kadri H, Mawla AA, Kazah J. The incidence, timing, and predisposing factors of germinal matrix and intraventricular hemorrhage (GMH / IVH) in preterm neonates. Child nervous system Ch NS official journal of the international society for pediatric neurosurgery, 2006;22(9): 1086-1090.