Neonatal Cranial Ultrasonography Guidelines for the by Richard A. C. Hughes

By Richard A. C. Hughes

Drawing on a sequence of articles from the magazine of Neurology, Neurosurgery and Psychiatry, the fourth variation of this renowned reference presents an explanation dependent account of the administration of neurological emergencies. up to date chapters confer with fresh Cochrane systematic experiences.

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7 The acoustic windows. AF anterior fontanel, PF posterior fontanel, MF mastoid (or postero-lateral) fontanel, TW temporal window 24 3 Performing Cranial Ultrasound Examinations in Part II. e. if the infant is positioned on his or her left side, only the right-sided windows are used, and vice versa). The examination can be continued when the infant is in another position. 8a,b Posterior fontanel. a Probe positioning for coronal scan using the posterior fontanel as an acoustic window (arrow indicates marker).

A Preterm infant (GA 31 weeks) showing bilateral IVH (arrows) with ventricular dilatation, echodense ventricular lining (arrowhead), and widened third ventricle (short arrow). Also showing dilated temporal horns of the lateral ventricles (long arrows). Ventricular index is measured according to Levene (the indicated distance to be divided by 2) (1981). b Preterm infant (GA 29 weeks), showing bilateral IVH (arrows) with asymmetric ventricular dilatation. Also shows right-sided periventricular haemorrhagic infarction (short arrow) and echodensity in the basal ganglia (arrowhead).

11. 12. 13. 14. 35 Luna JA, Goldstein RB (2000) Sonographic visualization of neonatal posterior fossa abnormalities through the posterolateral fontanelle. AJR Am J Roentgenol 174:561–567 Taylor GA (1992) Intracranial venous system in the newborn: evaluation of normal anatomy and flow characteristics with color Doppler US. Radiology 183:449–452 Taylor GA (2001) Sonographic assessment of posthemorrhagic ventricular dilatation. Radiol Clin North Am 39:541–551 Van Bel F et al. (1993) Changes in cerebral hemodynamics and oxygenation in the first 24 hours after birth asphyxia.

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