Rao A Rupesh, Taksande Amar
Pediatrics, Jawaharlal Nehru Medical College, Wardha, IND.
Cureus. 2022 May 10;14(5):e24882. doi: 10.7759/cureus.24882. eCollection 2022 May.
The Cranial Neurosonogram is the preferred method for viewing the infant's brain. Ultrasound tools are portable and may be used at the NICU bedside. This corresponds to the concept of point-of-care testing. The difficulties associated with moving newborns to CT or MRI rooms are eliminated. Furthermore, ultrasound is less expensive than CT, has no radiation impact, and does not require sedation, which is required for MRI. Cranial sutures are still open in newborns, allowing us to glimpse within the brain using ultrasonography. A radiologist or neonatologist specializing in that profession should do the neurosonogram. The majority of the time, the course of therapy and subsequent care of the patient can be based on a Neurosonogram finding. Regardless of weight, height, or gestational age, any neonate who has a higher risk of morbidity or death due to fetal, placental, or maternal factors is classified as critically unwell. A sick neonate is defined as any neonate, regardless of birth weight, size, or gestational age, who has a greater than average risk of morbidity or mortality due to fetal, maternal, or placental anomalies or an otherwise compromised pregnancy within the first 28 days of life.
颅脑超声检查是观察婴儿脑部的首选方法。超声设备便于携带，可在新生儿重症监护病房（NICU）床边使用。这符合即时检验的概念。消除了将新生儿转运至CT或MRI检查室的相关困难。此外，超声检查比CT便宜，无辐射影响，且无需镇静，而MRI检查则需要镇静。新生儿的颅骨缝仍未闭合，这使我们能够通过超声检查观察脑内情况。应由专业的放射科医生或新生儿科医生进行颅脑超声检查。大多数情况下，患者的治疗过程及后续护理可基于颅脑超声检查结果。任何因胎儿、胎盘或母体因素而发病或死亡风险较高的新生儿，无论其体重、身高或胎龄如何，均被归类为病情危急。患病新生儿是指任何出生体重、体型或胎龄的新生儿，在出生后28天内，由于胎儿、母体或胎盘异常或其他妊娠并发症，其发病或死亡风险高于平均水平。
