scholarly journals Incidence of cranial ultrasound abnormalities in apparently well neonates on a postnatal ward: correlation with antenatal and perinatal factors and neurological status

1998 ◽  
Vol 79 (3) ◽  
pp. F185-F189 ◽  
Author(s):  
E. Mercuri ◽  
L. Dubowitz ◽  
S. P. Brown ◽  
F. Cowan
Keyword(s):  
Neurological Status ◽  
Cranial Ultrasound ◽  
Perinatal Factors ◽  
Postnatal Ward

Basal ganglia echogenicity in preterm infants: A case series

2020 ◽  
pp. 1-5
Author(s):  
S. Harvey ◽  
S. Ryan ◽  
A. Tarrant ◽  
M. King ◽  
B. Hayes
Keyword(s):  
Basal Ganglia ◽  
Clinical Course ◽  
Case Series ◽  
Abnormal Development ◽  
Cranial Ultrasound ◽  
Perinatal Factors ◽  
Mri Brain ◽  
Developmental Progress ◽  
Cognitive Delay ◽  
History Of

BACKGROUND: Damage to the basal ganglia and thalamus (BGT) can be caused by multiple perinatal factors and may be associated with movement disorders, cognitive delay and visual difficulties. Changes in BGT structure, seen as echogenicity on ultrasound, are difficult to objectively quantify. The aetiology, clinical relevance and developmental outcomes of BGT echogenicity are poorly understood. We aimed to gain a better understanding of the natural history of BGT echogenicity in a preterm population. METHODS: Retrospective review of clinical course, neuroimaging and development in infants born <32weeks gestation over 5 years with evidence of BGT echogenicity. RESULTS: BGT echogenicity was reported in 18/650 infants (2.7%). Echogenicity appeared at a median of 8 days (2–45 days) and resolved on pre-discharge ultrasound in 50%. Thirteen infants had a term corrected MRI brain with abnormal BGT signal seen in 3 infants (23%). All 3 infants had persisting echogenicity on discharge ultrasound. No infant with echogenicity resolution on ultrasound had changes on term MRI. 14 infants had developmental progress available at 1 year corrected. Abnormal development was reported in four children of whom one had BGT changes on term MRI. Two children with persistent BGT changes but an otherwise normal MRI had reported normal neurodevelopment. CONCLUSION: BGT echogenicity is relatively common on routine ultrasound and resolves in the majority of infants by term corrected. This review suggests that at term corrected, normal cranial ultrasound may obviate the need for MRI where no other concerns exist. BGT echogenicity did not appear to independently influence neurodevelopment.

scholarly journals Relationship of the cranial ultrasound results – neurosonography – with the outcomes of psychomotor development of very premature infants

2019 ◽  
Vol 64 (5) ◽  
pp. 33-37
Author(s):  
E. S. Sakharova ◽  
E. S. Keshishyan ◽  
G. A. Аlyamovskaya
Keyword(s):  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Clinical Symptoms ◽  
Periventricular Leukomalacia ◽  
Neurological Status ◽  
Extremely Low Birth Weight ◽  
Psychomotor Development ◽  
Cranial Ultrasound ◽  
Psychomotor Skills ◽  
Ultrasound Monitoring

This article analyzes the neurosonography results and compares with neurological symptoms in premature infants with very low and extremely low birth weight. The authors retrospectively assessed the cranial ultrasound results from neonatal intensive care units and outpatient hospitals. Group 1: monthly cranial ultrasound despite of clinical symptoms and psychomotor development; Group 2: only according to indications - in case of deterioration of neurological status or a decrease in the psychomotor skills development. The neurological outcome was compared with intracranial lesions identified in the neonatal period (intraventricular hemorrhage, periventricular leukomalacia etc.). It was found that continuous ultrasound monitoring was not required in the absence of clinical and laboratory signs of neurological distress, since the results of the study, including deviation from the norm, did not affect the treatment tactics. Only presence of clinical symptoms required treatment.

scholarly journals Non-Epileptic Paroxysmal Events in Infants: stucture, manifestation and risk factors

2020 ◽  
pp. 80-86
Author(s):  
V. V. Privorotskaya ◽  
A. B. Palchik ◽  
A. E. Ponyatishin ◽  
G. A. Mashevskiy
Keyword(s):  
Comparison Group ◽  
Functional Gastrointestinal Disorders ◽  
Neurological Status ◽  
City Hospital ◽  
Perinatal Factors ◽  
Assessment Data ◽  
Persistent Infections ◽  
Developmental Neurology ◽  
Paroxysmal Disorders ◽  
Neurophysiological Assessment

During 3 years we observed in specialized neurological department of St. Olga Children’s City Hospital 708 babies aged up to 42 months with different paroxysmal disorders. Non-epileptic paroxysmal events (NEPE) were diagnosed in 98 cases. These disorders were qualified (according to ILAE criteria) as differentiated and undifferentiated NEPE. In most cases neurophysiological assessment data, neurovisualization data, and neurological status of infants with NEPE and babies from comparison group varied marginally. It was shown that NEPE development correlated with perinatal factors, and with infants’ developmental diseases (functional gastrointestinal disorders, iron deficiency states, chronic or persistent infections). The obtained data was interpreted according to the developmental neurology principles (optimality concept, in particular).

Effect of age on outcome in patients with cerebral stroke

2020 ◽  
pp. 41-45
Author(s):  
G. R. Kuchava ◽  
E. V. Eliseev ◽  
B. V. Silaev ◽  
D. A. Doroshenko ◽  
Yu. N. Fedulaev
Keyword(s):  
Ischemic Stroke ◽  
Neurological Deficit ◽  
Neurological Status ◽  
Statistical Correlation ◽  
Multiple Organ ◽  
The Body ◽  
Social Adaptation ◽  
Cerebral Stroke ◽  
Septic Complications ◽  
Risk Of Death

The aim of the study was to assess the course and outcome of cerebral infarction, depending on the age factor and duration of stay in the neuroblock. Materials and methods: a dynamic observation of 494 patients, men and women, aged 38–84 years with acute ischemic stroke of hemispheric localization, which were divided into the three groups depending on age, was performed. Group 1 – younger than 60 years old, group 2–60–70 years old, group 3 – older than 60 years. All patients underwent standard therapy, according to the recommendations for the treatment of ischemic stroke. The patients underwent comprehensive clinical and instrumental monitoring, which included assessment of somatic and neurological status according to the NIH‑NINDS scales at 1st, 3rd, 10th days and at discharge or death; assessment of the level of social adaptation according to the Bartel scale on 1st, 3rd, 10th days and at discharge, clinical and biochemical blood tests, computed tomography of the brain. Assessment of the quality of therapy was carried out according to specially developed maps using methods of statistical correlation analysis. Results: the most pronounced positive dynamics of neurological status was in the 1st group of patients. The regression of neurological deficit in the 2nd group was worse. The minimal dynamics of neurological deficit was in the 3rd group of patients with cerebral stroke. Most often, the death of patients with cerebral stroke occurred from the development of multiple organ disorders. Conclusions: patients over 70 years of age have the greatest risk of death, due to: a decrease in the reactivity of the body, the presence of initially severe concomitant somatic pathology in patients with admission to hospital; accession of secondary somatic and purulent‑septic complications.

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