Hung K L
Brain Dev. 1986;8(1):31-6. doi: 10.1016/s0387-7604(86)80117-6.
Serial cranial ultrasound examinations were performed through the anterior fontanel to detect and follow the complications of bacterial meningitis in 16 neonates. The final results included normal findings in 9 patients, and abnormal in the other 7 cases. Among the latter, 5 patients with hydrocephalus were sequentially found after the second week of the disease and the earlier the onset, the larger the ventricular dilation. One ventriculitis showed polycystic loculi with abnormal septa in the advanced stage. Cystic low attenuation lesion with mass effect at a later stage of meningitis specified one patient with brain abscess. Progressive dilatation of ventricular systems without associated growth of head girth disclosed a process of brain atrophy. They had neither obvious neurological signs nor specific CSF findings clinically, but their sonograms showed the abnormal changes which were finally proved by CT scans. The potential value of cranial ultrasound in the detection of post-meningitic complication besides CT scan is stressed.
对16例新生儿通过前囟进行系列头颅超声检查，以检测并追踪细菌性脑膜炎的并发症。最终结果显示，9例患者检查结果正常，另外7例异常。在后者中，5例脑积水患者在疾病第二周后陆续被发现，发病越早，脑室扩张越大。1例脑室炎在晚期表现为多囊性小腔及异常间隔。脑膜炎后期出现具有占位效应的囊性低衰减病变提示1例脑脓肿患者。脑室系统进行性扩张而头围无相应增长提示脑萎缩过程。他们临床上既无明显神经体征，脑脊液检查也无特异性表现，但超声检查显示了异常改变，最终经CT扫描得以证实。强调了头颅超声在检测脑膜炎后并发症方面除CT扫描外的潜在价值。
