Study Of Neurosonographic Evaluation of Intracranial Injuries in Preterm Neonates at a Tertiary Care Hospital
Journal Title: IJAR-Indian Journal of Applied Research - Year 2016, Vol 6, Issue 7
Abstract
Introduction: Preterm infants, especially those younger than 32 weeks gestation, are prone to intracranial injuries like periventricular/ intraventricular haemorrhages and ischemic white matter injuries. Since intracranial haemorrhages and cerebral ischemia are important causes of mortality and short and long term morbidity in preterm infants, routine cranial ultrasound examinations are most valuable for this group. Therefore early recognition of these conditions are important for proper management. Aims and objectives: The main objective of the present study is to detect intracranial lesions in the preterm neonates by using cranial ultrasound and to evaluate the possible use in determining the prognosis and outcome at the end of the study. Materials and Methods: This was a prospective study conducted over a one year period in the NICU of J.L.N. Medical college Hospital Bhagalpur. A total of 56 preterm babies with suspected neurological injuries were included in this study. Neurosonogram was carried out within 1 week of birth and at the end of 1 month follow-up scan was done. Results: The present study revealed abnormalities in cranial ultrasound in 26.7% of preterm neonates. 12.5% of those had evidence of intracranial haemorrage, 7.1% with transient periventricular echogenicity (TPVE), 1.7% had ventriculomegaly , 3.5% had periventricular leukomalacia and 1.7% had cystic lesion. Intracranial injuries were found mostly in babies born before 32 weeks. The most common abnormality was GMH (about 26.7%). Conclusion: Neonatal cranial ultrasonography is the non-invasive, easiest and most ideal investigation for preterm babies in evaluation of suspected intracranial injuries to prevent mortality as well as short and long term morbidity.
Authors and Affiliations
Dr. Ankur Priyadarshi, Dr. Mukesh Bihari
Keywords
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