Rapid Detection of Neonatal Intracranial Hemorrhage by Transillumination

PEDIATRICS ◽  
1979 ◽  
Vol 64 (6) ◽  
pp. 843-847
Author(s):  
Steven M. Donn ◽  
Marcia J. Sharp ◽  
Lawrence R. Kuhns ◽  
Joaquin O. Uy ◽  
James E. Knake ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cerebrospinal Fluid ◽  
Light Beam ◽  
Intracranial Hemorrhage ◽  
Rapid Detection ◽  
Light Transmission ◽  
Postmortem Examination ◽  
Cranial Computed Tomography ◽  
Anterior Fontanel ◽  
Light Passing

Using transillumination and a sensitive cadmium sulfide light meter, 145 newborns were screened for the presence of intracranial hemorrhage. Intracranial hemorrhage (ICH) was suspected when the light meter could not detect any light passing through the anterior fontanel when the light beam was directed through the frontal eminence. ICH was confirmed by cranial computed tomography or postmortem examination in all 17 infants not transmitting light. Spectrophotometry was performed on samples of cerebrospinal fluid (CSF) to demonstrate the mechanism through which blood in the CSF blocks light transmission.

Diagnosis of cerebral hemorrhage before the era of computed tomography

2013 ◽  
Vol 154 (44) ◽  
pp. 1743-1746
Author(s):  
Gergely Hofgárt ◽  
Rita Szepesi ◽  
Bertalan Vámosi ◽  
László Csiba
Keyword(s):  
Computed Tomography ◽  
Cerebrospinal Fluid ◽  
Positive Predictive Value ◽  
Predictive Value ◽  
Hemorrhagic Stroke ◽  
Cranial Computed Tomography ◽  
Cerebral Stroke ◽  
Daily Routine ◽  
Stroke Patients ◽  
The Difference

Introduction: During the past decades there has been a great progress in neuroimaging methods. Cranial computed tomography is part of the daily routine now and its use allows a fast diagnosis of parenchymal hemorrhage. However, before the availability of computed tomography the differentiation between ischemic and hemorrhagic stroke was based on patient history, physical examination, percutan angiography and cerebrospinal fluid sampling, and the clinical utility could be evaluated by autopsy of deceased patients. Aim: The authors explored the diagnostic performance of cerebrospinal fluid examination for the diagnosis of ischemic and hemorrhagic stroke. Method: Data of 200 deceased stroke patients were retrospectively evaluated. All patients had liquor sampling at admission and all of them had brain autopsy. Results: Bloody or yellowish cerebrospinal fluid at admission had a positive predictive value of 87.5% for hemorrhagic stroke confirmed by autopsy, while clear cerebrospinal fluid had positive predictive value of 90.7% for ischemic stroke. Patients who had clear liquor, but autopsy revealed hemorrhagic stroke had higher protein level in the cerebrospinal fluid, but the difference was not statistically significant (p = 0.09). Conclusions: The results confirm the importance of pathological evaluation of the brain in cases deceased from cerebral stroke. With this article the authors wanted to salute for those who contributed to the development of the Hungarian neuropathology. In this year we remember the 110th anniversary of the birth, and the 60th anniversary of the death of professor Kálmán Sántha. Professor László Molnár would be 90 years old in 2013. Orv. Hetil., 154 (44), 1743–1746.

scholarly journals Hybrid Convolutional Neural Network-Based Diagnosis System for Intracranial Hemorrhage

2021 ◽  
Vol 12 (4) ◽  
pp. 01-27
Author(s):  
Sezin Barin ◽  
Murat Saribaş ◽  
Beyza Gülizar Çiltaş ◽  
Gür Emre Güraksin ◽  
Utku Köse
Keyword(s):  
Computed Tomography ◽  
Deep Learning ◽  
Early Diagnosis ◽  
Intracranial Hemorrhage ◽  
Hybrid Method ◽  
Computer Aided Design ◽  
Cranial Computed Tomography ◽  
Critical Problem ◽  
Computed Tomography Scans ◽  
Aided Design

Early diagnosis of intracranial hemorrhage significantly reduces mortality. Hemorrhage is diagnosed by using various imaging methods and the most time-efficient one among them is computed tomography (CT). However, it is clear that accurate CT scans requires time, diligence, and experience. Computer-aided design methods are vital for the treatment because they facilitate early diagnosis of intracranial hemorrhage. At this point, deep learning can provide effective outcomes through an automated diagnosis way. However, as different from the known solutions, diagnosis of five different hemorrhage subtypes is a critical problem to be solved.This study focused on deep learning methods and employed cranial computed tomography scans in order to detect intracranial hemorrhage. The diagnosis approach in the study aimed to detect five subtypes of hemorrhage. In detail, EfficientNet-B3 and ResNet-Inception-V2 architectures were used for diagnosis purposes. Eventually, the study also proposed a two-architecture hybrid method for the diagnosis purpose. The obtained findings by the hybrid method were evaluated in terms of a comparative perspective.Results showed that the newly designed hybrid method was quite effective in terms of increasing classification rates of detecting intracranial hemorrhage according to the subtypes. Briefly, an accuracy of 98.5%, which is higher than those of the EfficientNet-B3 and the Inception-ResNet-V2, were obtained thanks to the developed hybrid method.

Pediatric Minor Head Trauma: Factors Affecting the Anxiety of Parents

2021 ◽  
pp. 000992282110096
Author(s):  
Hasan Aldinc ◽  
Cem Gun ◽  
Serpil Yaylaci ◽  
Erol Barbur
Keyword(s):  
Computed Tomography ◽  
Head Trauma ◽  
Pediatric Patients ◽  
Positive Impact ◽  
Cranial Computed Tomography ◽  
Sufficient Information ◽  
Minor Head Trauma ◽  
Computed Tomography Imaging ◽  
Factors Affecting ◽  
X Ray

Managing the anxiety of the parents of pediatric patients with head trauma is challenging. This study aimed to examine the factors that affect anxiety levels of parents whose children were admitted to the emergency department with minor head trauma. In this prospective study, the parents of 663 consecutive pediatric patients were invited to answer a questionnaire. Parents of 600 children participated in the study. The parents who believed they were provided sufficient information and who were satisfied with the service received had significantly more improvement in anxiety-related questions. Cranial X-ray assessment had a significantly positive impact on the anxiety of the parents, whereas cranial computed tomography and neurosurgery consultation did not. In assessing pediatric minor head trauma, cranial computed tomography imaging and neurosurgery consultation should not be expected to relieve the anxiety of the parents. However, adequately informing them and providing satisfaction are the factors that could lead to improvement.

Dual-energy bone removal computed tomography (BRCT): preliminary report of efficacy of acute intracranial hemorrhage detection

2017 ◽  
Vol 25 (1) ◽  
pp. 29-33 ◽  
Author(s):  
Norihito Naruto ◽  
Hidenori Tannai ◽  
Kazuma Nishikawa ◽  
Kentaro Yamagishi ◽  
Masahiko Hashimoto ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Intracranial Hemorrhage ◽  
Preliminary Report ◽  
Dual Energy ◽  
Bone Removal
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