Fischer A Q, Anderson J C, Shuman R M
Department of Neurology, Medical College of Georgia, Augusta 30192.
J Child Neurol. 1988 Apr;3(2):105-9. doi: 10.1177/088307388800300205.
Cranial sonography provides a noninvasive, portable method for imaging the infant brain. This study describes the time-dependent, sonographic findings of infantile cerebral infarction, as well as computed tomographic (CT) scan and neuropathologic confirmation. Three hundred ninety-five infants under 18 months of age were sonogrammed over a period of 18 months. Three infants were diagnosed by cranial sonography and confirmed by CT scan and/or autopsy to have acute ischemic cerebral infarcts. The cases were followed with serial cranial sonograms for up to 18 months of age. The acute sonographic findings included a hyperechoic zone around the infarcted tissue. The subacute infarct had a checkerboard pattern, while the chronic infarcts were anechoic.
头颅超声检查为婴儿脑部成像提供了一种非侵入性的便携式方法。本研究描述了婴儿脑梗死随时间变化的超声检查结果,以及计算机断层扫描(CT)和神经病理学的确诊情况。在18个月的时间里,对395名18个月以下的婴儿进行了超声检查。3名婴儿经头颅超声检查诊断,并经CT扫描和/或尸检确诊为急性缺血性脑梗死。对这些病例进行了系列头颅超声检查,随访至18个月龄。急性超声检查结果包括梗死组织周围的高回声区。亚急性梗死呈现棋盘状模式,而慢性梗死则为无回声。