Exploring the Value of Bedside Craniocerebral Ultrasound in the Dynamic Observation of Neonatal Subependymal Hemorrhage
International Journal of Biomedical Engineering and Clinical Science
Volume 4, Issue 1, March 2018, Pages: 1-5
Received: Jan. 3, 2018; Accepted: Jan. 22, 2018; Published: Feb. 7, 2018
Views 2111      Downloads 137
Li Kaiwen, Department of Ultrasound, Jingzhou Central Hospital, The Second Clinical Medical College, Yangtze University, Jingzhou, China
Article Tools
Follow on us
Background: The purpose of this study is to investigate the ultrasonic performance of bedside brain ultrasound in the observation of subependymal hemorrhages (SEH) in newborns and provide evidence for clinical prevention and treatment of hemorrhage. 152 cases of newborns diagnosed as SEH were examined and followed up regularly, and their ultrasonographic features were analyzed. As a result, the craniocerebral ultrasound found strong and slightly strong echo in the anterior horn of the lateral ventricle and the thalamic caudate nucleus region, which did not affect the lateral ventricle. In the early stage of hemorrhage, the lesions showed a high echo and the border was slightly blurred. The echo gradually increased and the boundaries became clear at the stable period. During the absorption period, the center of the lesion was low echogenic and the edge was still hyper echoic, and gradually formed a poorly sound, separated thick cyst cavity. Subsequently, there was no echo area in the center of the lesion, and eventually the lumen was formed under the subependymal hemorrhage. Post discharge follow-up showed that 6 cases (3.95% 6/152), 75 cases (49.34% 75/152), 37 cases (24.34% 37/152), 13 cases (8.55% 13/152) had their cyst cavity disappeared after their hemorrhage in 1 months and 2 months, 3 months and 6 months. The patients with their lesions basically absorbed within 6 months accounted for 86.18% (131/152). Conclusion: Intracranial ultrasound has the advantage of early diagnosis of SEH, and it can be used to observe the patient's bedside examination, to observe the change of the course of the disease dynamically, to evaluate the blood transfer, to effectively guide the clinical medication and evaluate the prognosis.
Bedside Craniocerebral Ultrasound, Neonate, Subependymal Hemorrhage, Dynamic
To cite this article
Li Kaiwen, Exploring the Value of Bedside Craniocerebral Ultrasound in the Dynamic Observation of Neonatal Subependymal Hemorrhage, International Journal of Biomedical Engineering and Clinical Science. Vol. 4, No. 1, 2018, pp. 1-5. doi: 10.11648/j.ijbecs.20180401.11
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Neonatology Group of Chinese Medical Association Pediatric Branch, Editorial board of the Chinese Journal of Pediatrics. Diagnosis of periventricular- intraventricular hemorrhage and periventricular leukomalacia in premature infants [J]. Chinese Journal of Pediatrics, 2007, 45 (1): 34-36.
Papile LA, Burstein J, Burstein R, et al. Incidence and evolution of subependymal and intraventricular hemonhage: a study of infants with birth weights less than 1,500gm [J]. J Pediatr, 1978, 92 (4):529-534.
Antoniuk S, da Silva RV. Periventricular and intraventricular hemorrhage in the premature infants [J]. Rev Neurol, 2000, 31 (3):238-243.
Lu Jun, Li Jiangling, Liu Yingqiong. Transcranial Ultrasound Diagnosis of 92 Cases of Neonatal Intracranial Hemorrhage [J]. China Practical Medicine, 2010, 5 (29):41-43.
Lin Shulian, Bu Qiuqiang, Xian Yunkai. The Value of Craniocerebral Ultrasound in Neonatal Brain Disease [J]. China Practical Medicine, 2012, 7 (27):98-99.
Van den Broeck C, Himpens E, Vanhaesebrouck P, et al. Influence of gestational age on the type of brain injury and neuromotor outcome in high-risk neonates [J]. Eur J Pediatr, 2008, 167 (9):1005-1009.
Zhou Congle. Neonatal Neurology [M]. Beijing: People's Medical Publishing House, 2012, 321-329.
Pei Yufang, Zhang Lianjun, Zhang Hong. Study and Analysis of Diagnosis of Intracranial Hemorrhage in Newborns by Craniocerebral Ultrasound and CT [J]. Chinese Journal of Preventive and Genetic, 2015, 23 (1): 83-84.
Zhao Yali, Dong Jiao Lou, Zhou Cexun. The clinical value of color Doppler ultrasound and CT examination of the brain in newborns [J]. Medical Imaging Journal, 2013, 23 (6): 969-970.
Liu Jiaoran, Li Tao, Liu Fang. Study on early neonatal ependymal hemorrhage under hemodynamics [J]. Journal of clinical ultrasonic medicine, 2011, 13 (4):238-240.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186