Value of Routine Cranial Ultrasound in Preterm Neonates with gestational age 30–34 weeks
Ahmed Abdel Aziz Fahmy;
Abstract
Screening of premature infants for intracranial hemorrhage has proven highly sensitive and specific. Ultrasound can also be valuable in evaluation and follow up of hydrocephalus and periventricular leukomalacia. central nervous system malformations, infections. Ultrasound can be useful for the follow up of therapy or follow up of complications.
This retrospective study aimed to studying the evaluation needing of screening cranial ultrasound in preterm neonates with gestational age (GA) between 30–34 weeks. It was conducted on 75 newborns. There 88% were males, 12% are females, in which their mean GA was 33.2 weeks and their mean birth weight was 1.85 Kg. Cranial ultrasound was done to high risk neonates according to mode of delivery and prematurity admitted in NICU in ALMAZA hospital for early detection of intracranial lesion and they evaluation after one mouth
In addition to cranial ultrasonography, detailed history taking, examination and laboratory investigation were collected to all NICU admitted neonates in Almaza Hospital, from June 2009 to December 2009.
The results of this study revealed that:
• Out of 75 neonates 18 neonates had cranial abnormalities the commonest is Intraventricular hemorrhage (18.6 %), Hydrocephalus (6.5%), cerebral hemorrhage (4%) and Leukomalacia (4%).
• Neurolgical manifestation among cases with cranial abnormalities were, (38.7%) had seizures; (25.23%) were lethargic; (6.7%) had an abnormal posture, (5.0%) had abnormal muscle tone and (1.7%) had abnormal reflexes.
• There is significant difference regarding PROMand, and Birth weight that present more frequent in neonates with cranial abnormalities.
• Increased incidence of ICH with birth weight and lower GA which considered the most pridected factor.
• The percentage of male with ICH were 42.9% while in female was 21.1% .
• Higher rate of ICH in cases delivered by normal vaginal delivery (44.1%) than those delivered by cesarean section (17.3%).
• The majority of cases of IVH were grad I representing 50 %, 25% was grad II 12.5 %was grade III, 12.5 % was grad IV .
• At day 30 out of 25 neonates which had cranial abnormalities by CUS .12 neonates become normal CUS finding and 13 neonates still had abnormal cranial finding.
This retrospective study aimed to studying the evaluation needing of screening cranial ultrasound in preterm neonates with gestational age (GA) between 30–34 weeks. It was conducted on 75 newborns. There 88% were males, 12% are females, in which their mean GA was 33.2 weeks and their mean birth weight was 1.85 Kg. Cranial ultrasound was done to high risk neonates according to mode of delivery and prematurity admitted in NICU in ALMAZA hospital for early detection of intracranial lesion and they evaluation after one mouth
In addition to cranial ultrasonography, detailed history taking, examination and laboratory investigation were collected to all NICU admitted neonates in Almaza Hospital, from June 2009 to December 2009.
The results of this study revealed that:
• Out of 75 neonates 18 neonates had cranial abnormalities the commonest is Intraventricular hemorrhage (18.6 %), Hydrocephalus (6.5%), cerebral hemorrhage (4%) and Leukomalacia (4%).
• Neurolgical manifestation among cases with cranial abnormalities were, (38.7%) had seizures; (25.23%) were lethargic; (6.7%) had an abnormal posture, (5.0%) had abnormal muscle tone and (1.7%) had abnormal reflexes.
• There is significant difference regarding PROMand, and Birth weight that present more frequent in neonates with cranial abnormalities.
• Increased incidence of ICH with birth weight and lower GA which considered the most pridected factor.
• The percentage of male with ICH were 42.9% while in female was 21.1% .
• Higher rate of ICH in cases delivered by normal vaginal delivery (44.1%) than those delivered by cesarean section (17.3%).
• The majority of cases of IVH were grad I representing 50 %, 25% was grad II 12.5 %was grade III, 12.5 % was grad IV .
• At day 30 out of 25 neonates which had cranial abnormalities by CUS .12 neonates become normal CUS finding and 13 neonates still had abnormal cranial finding.
Other data
| Title | Value of Routine Cranial Ultrasound in Preterm Neonates with gestational age 30–34 weeks | Other Titles | قيمة الموجات الصوتية على الدماغ والأطفال المبتسرين الذين تتراوح أعمارهم الجنينية بين 30 – 34 أسبوع | Authors | Ahmed Abdel Aziz Fahmy | Issue Date | 2015 |
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