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新生儿脑积水管理中的头颅超声检查:病例系列

Cranial Ultrasound in the Management of Hydrocephalus in Newborns: A Case Series.

作者信息

Gonț Bogdan Florin, Mitran Loredana, Dima Vlad, Vlădăreanu Simona

机构信息

Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania.

Neonatology Clinic, Department of Obstetrics and Gynecology, Faculty of General Medicine, "Elias" Emergency University Hospital, 011461 Bucharest, Romania.

出版信息

Children (Basel). 2025 Mar 27;12(4):419. doi: 10.3390/children12040419.

Abstract

BACKGROUND

Hydrocephalus in preterm and term newborns is a condition with an important impact on medical care and the neurological development of patients, with high expenditures regarding daily care. Imaging nowadays provides valuable information regarding the aetiology of the condition, and it represents a great aid in monitoring the development of the patients.

MATERIALS AND METHODS

In this article, we present the cases of five patients with hydrocephalus, for which different imaging methods were used to detect and treat the underlying aetiology, emphasizing the cranial ultrasound examination.

RESULTS

The results provided valuable information regarding the utility and feasibility of ultrasound. Moreover, Prechtl's Assessment of General Movements is yet another useful tool, which in correlation with the use of cranial ultrasound can provide good insight regarding the evolution of the affected newborns. The Kurjak Antenatal Neurodevelopmental Test (KANET, KANE Test) comes in handy in the case of prenatal neurological assessments.

CONCLUSIONS

Ultrasound examination proves to be a worthy tool capable of detecting the aetiology; however, in several cases, a complementary imaging examination might be needed. The therapeutic approach should take into consideration the diverse aetiology of the disease.

摘要

背景

早产和足月新生儿脑积水是一种对医疗护理及患者神经发育有重要影响的病症,日常护理费用高昂。如今,影像学检查可为该病症的病因提供有价值的信息,并且在监测患者病情发展方面有很大帮助。

材料与方法

在本文中,我们介绍了五例脑积水患者的病例,针对这些病例采用了不同的影像学方法来检测和治疗潜在病因,重点介绍了头颅超声检查。

结果

这些结果为超声检查的实用性和可行性提供了有价值的信息。此外,普雷赫特一般运动评估是另一个有用的工具,与头颅超声检查相结合,可为受影响新生儿的病情发展提供很好的见解。库尔亚克产前神经发育测试(KANET,KANE测试)在产前神经评估中很有用。

结论

超声检查被证明是一种能够检测病因的有价值工具;然而,在某些情况下,可能需要进行补充影像学检查。治疗方法应考虑到该疾病的多种病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/7e78bb5a94d7/children-12-00419-g001a.jpg

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