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223812

Evaluation of Hypoxic Ischemic Encephalopathy and Congenital Intracranial Lesions in Preterm Using Transcranial Ultrasound and Color Doppler

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Last updated: 28 Dec 2024

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Abstract

Background: Cranial ultrasound is a safe imaging modality that does not require sedation and can be performed bedside, it can be repeated as often as necessary because of the lack of ionizing radiation. This study aimed to evaluate the usefulness of transcranial ultrasound and color Doppler in detecting intracranial lesions and congenital brain anomalies in neonatal age group. Methods: This study was performed on 30 neonates, the age ranged between 1 day to 29 days age old, the study group consisted of 17 females and 13 males, from 30 cases in this study 10 cases were discharged ,6 cases were referred to other big hospitals , 4 cases were defaulted,5 cases were dead and 5 cases were on admission for more follow up regularly, the examined patients classified into 6 main groups , the normal cases seen and consists of 11 cases, the traumatic cases seen and consists of 1 patient, the congenital malformations consists of 5 patients, 3 cases were holoprosencephaly , 2 cases were septo-optic dysplasia and one case of cerebellar hypoplasia .the vascular lesions seen and consists of 10 patients 3 cases of Periventricular germinal matrix hemorrhage & 3 cases were periventricular leucomalacia (PVL) and 1 case as aneurysm of vein of Galen and 1 case of extra-axial hemorrhage and 2 cases of brain parenchymal hematomas. Results: Four main Ultrasound approaches were used; anterior fontanel (AF), [additional winows: (posterior fontanel, mastoid (poster lateral) fontanel, temporal approach]. The examined patients can be classified into 6 main groups. A) Normal cases in the study. B) Traumatic cases. Congenital cases: 3 holoprosencephaly, 2 septo-optic dysplasia,1 cerebellar hypoplasia. Sonographic findings of the congenital group. Sonographic Findings of aneurysm of Vein of Galen is seen as Anechoic cyst Shows high vascularity on Doppler, Multiple dilated surrounding feeding vessels and Supratentorial Hydrocephalus. Conclusions: US has been a major advance in the study of neonatal brain, it is portable safe, non-invasive, low cost and highly effective technique that is of considerable value in evaluation of neonatal intracranial disorders and should be included within integrated approach to CNS imaging in the neonates.

DOI

10.21608/bjas.2022.223812

Keywords

hypoxic ischemic encephalopathy, Congenital Intracranial Lesions, Preterm, Transcranial ultrasound, Color Doppler

Authors

First Name

A.I

Last Name

.Gafar

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Affiliation

Radiodiagnosis, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

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First Name

A.E.

Last Name

Shalan

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Affiliation

Radiodiagnosis, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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Orcid

-

First Name

A.F.

Last Name

Yousef

MiddleName

-

Affiliation

Radiodiagnosis, Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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-

Orcid

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Volume

7

Article Issue

2

Related Issue

31999

Issue Date

2022-02-01

Receive Date

2022-02-09

Publish Date

2022-02-01

Page Start

31

Page End

39

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_223812.html

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https://bjas.journals.ekb.eg/service?article_code=223812

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4

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Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Evaluation of Hypoxic Ischemic Encephalopathy and Congenital Intracranial Lesions in Preterm Using Transcranial Ultrasound and Color Doppler

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Article

Created At

23 Jan 2023