Cranial ultrasound in preterm neonates
Journal Title: Medpulse International Journal of Pediatrics - Year 2017, Vol 4, Issue 2
Abstract
Aims and Objectives: 1.To study brain abnormalities with cranial ultrasound in preterm infants. 2.To study association of various risk factors and cranial ultrasound abnormalities. 3.To assess the progression of abnormalities and treatment outcome. Results: Out of the 47 preterms included in our study, 20(42.6%) had abnormal cranial ultrasound done within 48 hrs of admission. When these preterms were followed up as per the protocol of the study, we found that at the mean follow up age of 35 wks, the cranial USG abnormalities reduced to 15 (31.9%). At term, these abnormalities were further reduced to 6 (12.8%). The results obtained above was statistically significant. In the present study, 64.7% were male and 38.3% were female. In addition, 40.4% were SGA, 53.2% were AGA and 6.4% were LGA. Most of the mother were primigravida (55%). Birth weight, Gestational age and Apgar score at 1 min and 5 min were statistically significant related with the abnormal cranial USG on admission. Age of the mother, Gravida, complications in the pregnancy and use of antenatal steroids were not statistically significant. Mode of ventilation, surfactant administration, presence of PDA, requirement of inotropes, presence of sepsis and abnormal neurological examination at term were statistically significant Conclusion: 1.Cranial USG abnormalities frequently occur in preterm infants. Many of them may resolve over a period of time especially when checked at full term. 2. The smaller the baby by gestational age, more chances of presence of cranial USG abnormalities. 3.Presence of cardiorespiratory risk factors increases the chance of cranial USG abnormalities.
Authors and Affiliations
Manindersingh Charansingh Juneja, Sudha Rao Chandrashekhar
Keywords
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