Avtor/Urednik		Burja, S; Japelj, I; Tekauc-Golob, A; Treiber, M
Naslov		Ultrazvok v diagnostiki zgodnje možganske oškodovanosti
Prevedeni naslov		Ultrasound in diagnosis of early cerebral lesions
Tip		članek
Vir		In: Burja S, editor. Možgani, ranjeni v zgodnjem razvoju otroka. Zbornik predavanj Mednarodna znanstvena konference Učna delavnica s področja slikovne diagnostike z ultrazvokom; 2005 dec 9-10; Maribor. Maribor: Splošna bolnišnica Maribor,
Leto izdaje		2005
Obseg		str. 82-98
Jezik		slo
Abstrakt		Objective: The guidelines presented in this report were prepared to provide neonatologists with answers to the following questions: Should cranial ultrasound examinations be pertormed routinely in preterm and term infants to predict long-term neurodevelopmental outcomes? If so, when should cranial ultrasound examinations be performed? Is it possible to predict long-term neurodevelopmental outcomes in preterm and term infants who develop hemorrhagic or ischemic lesions that are documented on routine cranial ultrasound examination? Methods: A review of the literature from the last two decades with any of the following key words: cranial ultrasound, intraventricular hemorrhage, germinal matrix hemorrhage, brain injury, ventriculomegaly echodensity, porencephaly, periventricular leukomalacia, sensitivity and specificity of US neuroimaging in the newborn. Recommendations: Neuroimaging of the preterm neonate: Routine screening cranial sonography (US) should be performed in all infants of < 30 weeks gestation - once at the age of 1-5 days, then it should be repeated at 7-14 days and at 40 weeks postmenstrual age. The authors suggest that cranial sonography should also be performed in preterm neonates of 30-37 weeks gestation - once between 7 and 14 days and should be repeated at expected date of birth. This strategy detects intraventricular hemorrhage which influences clinical care, as well as periventricular leukomalacia and lowpressure ventriculomegaly, which provide information about long- term neurodevelopmental outcome. Imaging of term infants with neonatal encephalopathy: At the first cranial sonography gray scale US and Doppler US should be performed. If US findings are inconclusive, CT should be performed to detect hemorrhagic lesions in the encephalopathic term infant with a history of birth trauma, low hematocrit, or coagulopathy MRI should be performed later in the first postnatal week to establish the pattern of the injury and predict neurologic outcome.
Deskriptorji		BRAIN DISEASES GESTATIONAL AGE CEREBRAL HEMORRHAGE INFANT, NEWBORN