Rosenberg H K, Levine R S, Stoltz K, Smith D R
AJNR Am J Neuroradiol. 1983 May-Jun;4(3):822-5.
Twenty-three infants with clinically proven bacterial meningitis were studied with real-time cranial sonography at the time of initial diagnosis and in several cases subsequently. A spectrum of sonographic abnormalities was observed, including bright convolutional markings, focal or diffuse increased and/or decreased parenchymal echoes, ventricular debris, and hydrocephalus. In three infants with virulent Gram-negative meningitis serial sonographic studies showed the development of encephalomalacia. Because clinical neurologic assessment of the infant is limited, a diagnostic imaging method that is sensitive to early structural change and suitable for serial observations is advantageous. Transfontanelle real-time sonographic examination of the brain was found to be a reliable, informative, and relatively inexpensive method of documenting and monitoring complicated bacterial meningitis.
对23例临床确诊为细菌性脑膜炎的婴儿在初诊时及部分病例随后进行了实时头颅超声检查。观察到一系列超声异常，包括脑回强回声、局灶性或弥漫性实质回声增强和/或减弱、脑室碎屑及脑积水。在3例患有强毒性革兰阴性菌脑膜炎的婴儿中，系列超声检查显示了脑软化的发展。由于对婴儿的临床神经学评估有限，一种对早期结构变化敏感且适合系列观察的诊断成像方法是有利的。发现经囟门实时脑超声检查是记录和监测复杂性细菌性脑膜炎的一种可靠、信息丰富且相对廉价的方法。
