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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.

DOI:10.3390/children12040419
PMID:40310071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12025987/
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/fd4f81f24913/children-12-00419-g005a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/7e78bb5a94d7/children-12-00419-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/ea6ff9ce4f54/children-12-00419-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/351edcb5d21f/children-12-00419-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/3bc9eac32dc4/children-12-00419-g004a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/fd4f81f24913/children-12-00419-g005a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/7e78bb5a94d7/children-12-00419-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/ea6ff9ce4f54/children-12-00419-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/351edcb5d21f/children-12-00419-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/3bc9eac32dc4/children-12-00419-g004a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ccd/12025987/fd4f81f24913/children-12-00419-g005a.jpg

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本文引用的文献

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BMC Pediatr. 2024 Jul 10;24(1):442. doi: 10.1186/s12887-024-04927-4.
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Early Intervention Guided by the General Movements Examination at Term Corrected Age-Short Term Outcomes.足月矫正年龄时一般运动评估指导下的早期干预——短期结局
Life (Basel). 2024 Apr 5;14(4):480. doi: 10.3390/life14040480.
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The genetic basis of hydrocephalus: genes, pathways, mechanisms, and global impact.
脑积水的遗传学基础:基因、途径、机制和全球影响。
Fluids Barriers CNS. 2024 Mar 4;21(1):24. doi: 10.1186/s12987-024-00513-z.
4
Cranial Point-of-Care Ultrasound for Neonatal Providers: A Feasibility Study.新生儿提供者的床边颅脑超声检查:一项可行性研究。
J Ultrasound Med. 2024 Jun;43(6):1089-1097. doi: 10.1002/jum.16437. Epub 2024 Feb 25.
5
Correlations between Head Ultrasounds Performed at Term-Equivalent Age in Premature Neonates and General Movements Neurologic Examination Patterns.早产儿足月相当年龄时进行的头部超声检查与一般运动神经学检查模式之间的相关性。
Life (Basel). 2023 Dec 27;14(1):46. doi: 10.3390/life14010046.
6
Brain Point of Care Ultrasound in Young Children Receiving Computed Tomography in the Emergency Department: A Proof of Concept Study.急诊科接受计算机断层扫描的幼儿的床旁脑超声检查:一项概念验证研究。
POCUS J. 2023 Nov 27;8(2):165-169. doi: 10.24908/pocus.v8i2.16435. eCollection 2023.
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The "microcephalic hydrocephalus" paradox as a paradigm of altered neural stem cell biology.“小头积水”悖论作为神经干细胞生物学改变的范例。
Cereb Cortex. 2024 Jan 14;34(1). doi: 10.1093/cercor/bhad432.
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"Floppy brain" in congenital hydrocephalus.先天性脑积水的“软脑膜脑”。
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