| Sub-title | |
| Authors | D Soler P Soler R Parascandalo |
| Abstract | Aims: To review the spectrum of cranial ultrasound findings and to determine whether the proportion of those within high to low prognostic risk categories is consistent with reports from other units. Methods: A retrospective analysis of all cranial ultrasound scans carried out within our unit from October 1999 to October 2001 was performed. Scanned neonates were divided into a Preterm group (< 36weeks gestation) and a Term Group (>36 weeks gestation). Scans were categorized into normal or abnormal based on ultrasonographic standards. Distribution of grey to white matter lesions was also noted within the groups. Findings were then categorized into prognostic risk groups. Results: Forty percent (269/674) of babies admitted during the study period were scanned. Most were preterm 167 (58%) while 112 (42%) were term. Most abnormal scans were seen in babies born before 28 weeks gestation. Milder grades of intraventricular haemorrhage (GMH/IVH2) were present in 4.5% of preterm and none in term babies. Cystic periventricular leucomalacia was an uncommon finding in all gestations. Congenital brain abnormalities were the commonest abnormalities in term babies. Low risk scans were found in 86-95% of preterms born between 28-36 weeks while only 43% were low risk type in those born before 28 weeks. White matter lesions were commoner in preterm group. Conclusion: Findings in this group are comparable with that published from other neonatal units. Ultrasound identification of babies with high risk scans remains a valid tool which helps the clinician to identify those requiring close follow up because of associated increased incidence of neurodevelopmental problems. |
Published in: | |
| Journal | Malta Medical Journal |
| Volume | 18 Supplement |
| Page | |
| Date | |
| Link to journal | |
| Key words | cranial ultrasound, screening |