Cranial ultrasound in preterm infants: long term follow up

One hundred and twenty nine high risk preterm infants (gestational ages 26-36 weeks, mean 31.2 weeks; birth weights 800-3880 g, mean 1490 g) were studied by cranial ultrasound during the neonatal period, over a period of one week to three months, and at the age of 1 year. Neonatal ultrasound scannin...

Full description

Saved in:
Bibliographic Details
Published in:Archives of disease in childhood 1985-08, Vol.60 (8), p.702-705
Main Authors: Baerts, W, Meradji, M
Format: Article
Language:English
Subjects:
Biological and medical sciences
Brain Diseases - diagnosis
Brain Ischemia - diagnosis
Cerebral Hemorrhage - diagnosis
Cysts - diagnosis
Dilatation, Pathologic - diagnosis
Echoencephalography
Follow-Up Studies
Humans
Infant, Newborn
Infant, Premature, Diseases - diagnosis
Infants
Investigative techniques, diagnostic techniques (general aspects)
Medical sciences
Nervous system
Premature Infants
Time Factors
Ultrasonic investigative techniques
Young Children
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:One hundred and twenty nine high risk preterm infants (gestational ages 26-36 weeks, mean 31.2 weeks; birth weights 800-3880 g, mean 1490 g) were studied by cranial ultrasound during the neonatal period, over a period of one week to three months, and at the age of 1 year. Neonatal ultrasound scanning was performed with an ATL Mk III real time echoscope, and follow up ultrasound scans at the age of 1 were performed with an Octoson static compound scanner. The neonatal scans of 66 infants were abnormal. Cerebroventricular haemorrhages were detected in 53 infants and other lesions in 19, six of whom also had haemorrhages. Posthaemorrhagic changes developed in 30 infants. The follow up scans at 1 year were abnormal in 27 children. One large parenchymal cyst was detected. All 27 scans showed ventricular dilatations; 19 were asymmetrical. About 95% of the children with normal neonatal scans and 60% with abnormal neonatal scans had normal scans at 1 year. The size and shape of the ventricular system had changed in 20% of all infants. As no major changes were seen in the ultrasound images of those studied beyond the age of 2 months cranial ultrasound follow up in high risk preterm infants should therefore be continued until the age of 2-3 months; follow up beyond that age would only rarely be necessary.
ISSN:0003-9888
1468-2044
DOI:10.1136/adc.60.8.702