Value of Cranial Ultrasound Screening for the Preterms in the Neonatal ICU
/ 0
- Details
- Category: Vol. 85, September 2017
- Hits: 486
Value of Cranial Ultrasound Screening for the Preterms in the Neonatal ICU, HASSAN A. EL-KIKI, AYAT A. MOUSA, RANIA H. HASHEM, YASMEN A. MANSI and MOHAMED H. SHAABAN
Abstract
Background: Preterms are a vulnerable group in the neonatal Intensive Care Unit (ICU), with much morbidity and mortality, hence emerge the importance of a screening method for imaging of their brain. Ultrasound is widely available and safe bed side imaging tool, playing a considerable role in the ICUs.
Objective: Is to evaluate the usefulness of cranial ultra-sound screening in preterm neonates in the neonatal ICU, to detect the different intra cranial pathologies, and the asymp-tomatic, neurologically free, group of patients.
Patients and Methods: All fifty preterms admitted to neonatal ICU in Kasr Al-Ainy Hospital over a period of 4 months were assessed by Cranial Ultrasound (CUS), particu-larly studying the anatomical structure of the brain, the ventricular size, the caudothalamic grooves and the brain parenchymal echogenicity.
Results: Out of the 50 preterms abnormal CUS was found in 14 neonates (28%), 9 (64.3%) early preterm and 5 (35.7%) moderate and late preterm. The pathologies detected in the screened neonates 8 (57.2%) showing hemorrhage (5 with Germinal Matrix Hemorrhage (GMH) and 3 with Intraven-tricular Hemorrhage (IVH), 3 (21.4%) with Periventricular Leukomalacia (PVL) and 3 (21.4%) with congenital anomalies: 1 (Dandy Walker malformation), 1 (complete agenesis of corpus callosum), 1 (porencephalic cyst). 11 (22%) were asymptomatic, have intracranial pathology on Transcranial Ultrasonography (TCUS).
Conclusion: Study results showed that TCUS give insight of the neurological disease of the pre-terms in the neonatal ICU, especially in the clinically silent one.