Ultrasound Detection of Brain Damage in Preterm Infants

Pape, KarenE.; Cusick, G.; Blackwell, R. J.; Houang, Muriel; Sherwood, Anthea; Thorburn, RosalindJ.; Reynolds, E. O. R.

doi:10.1016/s0140-6736(79)92227-x

Cited by 188 publications

(46 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[3,4,11,13,15,20] Since the early 1980s obtaining TCS images through the open anterior fontanelle has been the primary diagnostic procedure for pediatric patients, yielding excellent results. [1,5,10,14,17,21,22] Noninvasive assessment of CSF disorders in the elderly is performed using cerebral computerized tomography (CT) and MR imaging; however, with more advanced ultrasound equipment, assessment of the third ventricle, the lateral ventricles, and a midline shift has become feasible even in patients with insufficient acoustic bone windows. Results of evaluation of the third ventricle, at an insonation angle of 80 to 90°, are superior to those of the lateral ventricle, and the technique allows for the estimation of a potential midline shift with great accuracy in cases such as those with space-occupying hemispheric infarction.…”

Section: Discussionmentioning

confidence: 99%

Dynamic and three-dimensional transcranial sonography studies of an asymptomatic, cerebral convexity arachnoid cyst

Schlachetzki¹,

Hölscher²,

Ullrich³

et al. 1999

FOC

View full text Add to dashboard Cite

Dynamic and three-dimensional transcranial sonography (dTCS and 3D-TCCS) examinations are complementary, noninvasive methods used in the assessment and follow up of patients with cerebrospinal fluid (CSF) circulation disorders.A 16-year-old female patient who presented with a space-occupying, cerebral convexity arachnoid cyst and recurrent tension-type headache underwent examination for raised intracranial pressure (ICP) by using a standard color-coded duplex sonography system attached to a personal computer--based system for 3D data acquisition. Conventional TCS identified the outer arachnoid membrane of the cyst, which undulated freely after short rotation of the head ("headshake maneuver"). The undulation was documented as a QuickTime movie that is included with this article. A 3D dataset was acquired and, by using a multiplanar reformatting reconstruction algorithm, the authors obtained images with excellent resolution that corresponded to an initial magnetic resonance (MR) imaging study. No differences on dTCS and 3D-TCS were detectable at follow up 9 months later, indicating normal ICP and a stable, benign condition.The use of 3D-TCCS and dTCS ultrasonography may complement other diagnostic procedures such as MR imaging and, thus, can improve management and therapeutic strategies for patients with CSF circulation disorders. In this report the authors present evidence of the excellent fine resolution and exact reproducibility of reconstructed ultrasound image planes derived from 3D datasets and the additional biomedical information from dynamic imaging.

show abstract

Section: Discussionmentioning

confidence: 99%

Dynamic and three-dimensional transcranial sonography studies of an asymptomatic, cerebral convexity arachnoid cyst

Schlachetzki¹,

Hölscher²,

Ullrich³

et al. 1999

FOC

View full text Add to dashboard Cite

show abstract

“…This was initially with computed tomography, which revolutionized our ability to determine whether intracranial hemorrhage had occurred. In 1979, the first reports of ultrasound imaging of the brain were published (145). This was even more exciting, because it could be done at the bedside, whereas computed tomography scanning required moving the infant to the machine (still not an easy task when an infant is on assisted ventilation).…”

Section: Other Important Problems Of Prematuritymentioning

confidence: 99%

The Evolution of Neonatology

Philip

2005

Pediatr Res

544

View full text Add to dashboard Cite

In 1960, the terms "neonatology" and "neonatologist" were introduced. Thereafter, an increasing number of pediatricians devoted themselves to full-time neonatology. In 1975, the first examination of the Sub-Board of Neonatal-Perinatal Medicine of the American Board of Pediatrics and the first meeting of the Perinatal Section of the American Academy of Pediatrics were held. One of the most important factors that improved the care of the neonate was the miniaturization of blood samples needed to determine blood gases, serum electrolytes, glucose, calcium, bilirubin, and other biochemical measurements. Another factor was the ability to provide nutrition intravenously, and the third was the maintenance of normal body temperature. The management of respiratory distress syndrome improved with i.v. glucose and correction of metabolic acidosis, followed by assisted ventilation, continuous positive airway pressure, antenatal corticosteroid administration, and the introduction of exogenous surfactant. Pharmacologic manipulation of the ductus arteriosus, support of blood pressure, echocardiography, and changes in the management of persistent pulmonary hypertension, including the use of nitric oxide and extracorporeal membrane oxygenation, all have influenced the cardiopulmonary management of the neonate. Regionalization of neonatal care; changes in parent-infant interaction; and technological changes such as phototherapy, oxygen saturation monitors, and brain imaging techniques are among the important advances reviewed in this report. Most remarkable, a 1-kg infant who was born in 1960 had a mortality risk of 95% but had a 95% probability of survival by 2000. However, errors in neonatology are acknowledged, and potential directions for the future are explored. Abbreviations AAP, American Academy of Pediatrics BPD, bronchopulmonary dysplasia CPAP, continuous positive airway pressure ECMO, extracorporeal membrane oxygenation ELBW, extremely low birth weight HMD, hyaline membrane disease iNO, inhaled nitric oxide IUGR, intrauterine growth restriction IVH, intraventricular hemorrhage L/S, ratio of lecithin, phosphatidyl choline, to sphingomyelin NICU, neonatal intensive care unit PDA, patent ductus arteriosus PEEP, positive end expiratory pressure PPHN, persistent pulmonary hypertension of the newborn PVH, periventricular hemorrhage RDS, respiratory distress syndrome ROP, retinopathy of prematurity SIDS, sudden infant death syndrome VLBW, very low birth weight VON, Vermont-Oxford Network "There is need for specialization in neonatal medicine. This applies to doctors and nurses as well as teaching and construction of hospitals. The specialist in neonatal diseases and the nurse intensively trained and expert in the management of delicate newborns will be commonplace ere long." J.W. Ballantyne, 1923 (1) "In previous times the problems of the newborn child have been the province of the obstetrician, a field in which he has taken comparatively little interest and to which he has contributed little. As pediatricians we have but s...

show abstract

“…La utilidad de esta tecnica es evidente y destacada en el periodo neonatal, dada la alta incidencia de accidentes neurologicos 11 . En este grupo etario, como nosotros lo describimos, existen dos situaciones que hacen de esta tecnica un examen indispensable, tales como la prema-turidad y cl sufrimiento fetal hipoxico 1 .…”

Section: Comentariounclassified

Ultrasonografía del cráneo por fontanela anterior en recién nacidos lactantes

B¹

1987

Rev. chil. pediatr.

View full text Add to dashboard Cite

Crania) ultrasound exploration in infantsCranial ultrasound through the anterior fontanelle in infants allows a wide view of the different brain structures, both normal or pathologic: 23 ultrasonic examinations were carried out in 20 infant patients, most of them ncwborns, with perinatal hypoxia. prematurity, infections of the central nervous system, cranial abnormalities or trauma and neuromuscular diseases. Our results confirm the importance of cranial ultrasound through the anterior tontanclle, because it is a simple, relatively unexpensive technique to perform, allowing early anatomic evaluation of high risk patients and follow up of infants with central nervous system diseases. (Key words: cranial ultrasound, infants, diagnosis, brain injuries, perinatal hypoxia, central nervous system infections).Las primeras aplicaciones ch'nicas del ultraso nido fueron realizadas hace mas dc veinte afios. Durante mucho tiempo cl Modo A constituyo c] unieo nietodo uJtrasonico para determiner la linea media y efectuar mediciones de los ventn'culos cerebrales. A partir de 1968 es notorio el progreso en csta area, con la implcmentacion de tecnicas tales como: Modo-B, que pcrrnite a Sjorgren y Lornbroso 1 -2 obtener una idea dc la morfologia dc los ventrfculos cerebrales; escala de gris, quc posibilita a Kossof 3 dcscribir con precision la anatomia ultrasonografica del cerebro normal en el nine; Johnson y Morgan 4 -5 , mediante cortes axiales transoseos logran interesantes correlaciones con la tomografi'a. Sin embargo, debido a la interfasc hueso-tejido, las tecnicas transoseas son incompatibles con un analisis dctallado del parenquima cerebral, situacion que es ainpliamente superada al utilizar la via transfontaneiar para la cxploracion ultrasonica del cerebro.Ben-Ora y Allan 6 -7 en USA y Couture 8 enFrancia son los primeros en utilizar esta tecnica y destacar la posibilidad de lograr una vision panoratnica del contenido intracraneano, pcrrnitiendo visualizar no solo las cavidades ventriculares sino tambien el parenquima cerebral. El prcsente trabajo pretende mostrar nuestra expcriencia en ultrasonografia cerebral transfontanela anterior y su importaneia en el nino con riesgo cerebral.1. Unidad de neonatologia, Servicio de pediatri'a, Hospital Regional de Osorno. MATERIAL Y METODOLas ultrasonogiaf fas cerebrales se efectuaron mediante un Ultra son ografo ALOKA SSD 256 A Tiempo Real con transductor lineal dc 3,5 MHZ. Se rcalizaron los cxamenes sin prcmcdicacion del paciente, utilizando la tecnica transfoutanela anterior 9 . La exploraeion consta de dos series de cortes: coronales (oblicuo anterior, mcdio posterior); sagitales (sagital mcdio y paragitales oblicuos en cl ejc de cada vcntriculo lateral). Mediante esta tecnica se explora la easi totalidad del sistema ventricular, nuclcos dc la base, parenquina cerebral, fosa posterior y para visualizar colecciones peri-ccrebrales sc interpone un mcdio transonico.Xormalmente los cortes por la fontanela anterior permiten. en primer termino, reconoccr las references oscas, cuerpo d...

show abstract

Ultrasound Detection of Brain Damage in Preterm Infants

Cited by 188 publications

References 11 publications

Dynamic and three-dimensional transcranial sonography studies of an asymptomatic, cerebral convexity arachnoid cyst

Dynamic and three-dimensional transcranial sonography studies of an asymptomatic, cerebral convexity arachnoid cyst

The Evolution of Neonatology

Ultrasonografía del cráneo por fontanela anterior en recién nacidos lactantes

Contact Info

Product

Resources

About