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Corresponding Author

Ahmed Aly Fathy Elnshar

Document Type

Original Article

Abstract

Background: The standard imaging technique for preterm neonates is Sequential Cranial Ultrasound (CUS). By adding anatomical images with physiologic information, Trans Cranial Doppler (TCD) is the only non-invasive examination technique that permits reliable assessment of blood flow from the basal intracerebral vessels.

Aim and objectives: To assess the efficacy of universal cranial ultrasound screening in neonates for the identification of various intracranial pathologies specific to this pediatric population.

Patients and methods: This cross-sectional investigation was conducted on eighty cases of neonates who exhibited neurological symptoms or symptoms suggestive of a neurological lesion. TCD and transcranial ultrasound were utilized in every case. The present investigation was carried out at the Department of Radiodiagnosis, Al-Azhar University Hospitals (Assiut), extended the months of February 2022 to August 2023.

Results: A statistically significant distinction was observed in the Doppler results among cases with normal anomalous CUS (P value = 0.0216). Also, in the Doppler results, the categorization of brain lesions is congenital or acquired (P = 0.0359). A higher percentage of neonates delivered by CS exhibited aberrant US findings (67.5% versus 12.5%). Conversely, a greater proportion of neonates delivered via NVD exhibited normal US findings (12.5 percent) in comparison to 7.5 percent.

Conclusion: A significant development in the investigation of the neonatal brain, transcranial ultrasound is a portable, non-invasive, cost-effective, safe method that is particularly useful for assessing intracranial disorders in newborns.

Keywords

Transcranial Ultrasound, Neonatal Brain Diseases, Trans Cranial Doppler (TCD)

Subject Area

Radiology & Radiodiagnosis, Pediatrics & its Subspecialty.

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