AlGoraini Yara, AlJohani Haya, AlSaegh Alaa, AlSadhan Nehal
Pediatric Emergency Department, King Fahad Medical City, Riyadh, Saudi Arabia.
Family Medicine Department, King Fahad Medical City, Riyadh, Saudi Arabia.
Radiol Case Rep. 2022 Sep 5;17(11):4128-4131. doi: 10.1016/j.radcr.2022.08.042. eCollection 2022 Nov.
In children at risk of neurological damage, such as those delivered prematurely or with history of birth asphyxia, cranial ultrasonography is frequently employed. Cranial ultrasonography also detects cysts, asymmetrical ventricles, periventricular white matter echogenicity, and hemorrhage, among other features. We report the case of an 8-month-old boy who was brought to the emergency department with a history of head trauma followed by seizures. Bedside cranial ultrasonography revealed multiple bilateral intracranial cysts, consistent with porencephalic cysts. Brain magnetic resonance imaging is the gold standard for identifying porencephaly and distinguishing it from other cysts. However, because of time restrictions in emergencies, cranial ultrasonography for a quick assessment in neonates and infants can be appropriate, as was the case in our encounter.
对于有神经损伤风险的儿童，如早产或有出生窒息史的儿童，经常会使用头颅超声检查。头颅超声检查还能检测囊肿、脑室不对称、脑室周围白质回声以及出血等特征。我们报告一例8个月大男孩的病例，该患儿因头部外伤史后出现癫痫发作被送至急诊科。床旁头颅超声检查显示双侧多个颅内囊肿，符合脑穿通畸形囊肿。脑磁共振成像（MRI）是诊断脑穿通畸形并将其与其他囊肿区分开来的金标准。然而，由于急诊时存在时间限制，对于新生儿和婴儿进行快速评估的头颅超声检查可能是合适的，就像我们遇到的这个病例一样。
