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Detection of neonatal intracranial hemorrhage utilizing real‐time and static ultrasound
Author(s) -
Johnson Michael L.,
Rumack Carol M.,
Mannes Eric J.,
Appareti Kevin E.
Publication year - 1981
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870090806
Subject(s) - medicine , anterior fontanelle , ultrasound , intraventricular hemorrhage , gestational age , fontanelle , radiology , incidence (geometry) , prospective cohort study , intracranial hemorrhages , diagnostic accuracy , echoencephalography , pregnancy , surgery , subarachnoid hemorrhage , hydrocephalus , physics , biology , optics , genetics
Accurate assessment of neonatal brain anatomy and pathology can now be obtained with commercially available ultrasound equipment. Intracranial hemorrhage (ICH) has a 50% to 60% incidence in premature infants under 32 wk gestational age and is felt to be one of the leading causes of neonatal morbidity and mortality. Computerized tomography (CT) has been the standard for detecting ICH; this study demonstrates that ultrasound is equally accurate and sensitive. Real‐time examination through the anterior fontanelle resulted in 100% accuracy when compared with CT in a prospective study. Compound axial scans through the parietal bone were not as accurate, with a sensitivity of 91% and a specificity of 85%. If available, good quality real‐time, transfontanelle sector ultrasound should be the screening procedure of choice for detecting and following intracranial hemorrhage in the high‐risk premature infant.