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婴儿脑部超声检查:在评估神经功能异常中的作用

Sonography of the brain in infants: role in evaluating neurologic abnormalities.

作者信息

Babcock D S

机构信息

Department of Radiology, Children's Hospital Medical Center, Cincinnati, OH 45229, USA.

出版信息

AJR Am J Roentgenol. 1995 Aug;165(2):417-23. doi: 10.2214/ajr.165.2.7618570.

DOI:10.2214/ajr.165.2.7618570
PMID:7618570
Abstract

Three primary imaging techniques are currently available for evaluating CNS disease in the infant: sonography, CT, and MR imaging. No one technique is optimal in all situations. An integrated approach may be the most appropriate and cost-effective. Sonography plays a role in screening for and following up intracranial hemorrhage in premature infants, in diagnosing congenital malformations of the brain, and in the initial diagnosis and follow-up of infants with hydrocephalus. Sonography can be used to diagnose periventricular leukomalacia and hypoxic/ischemic injury, but it is relatively insensitive in the acute phase. Doppler sonography plays a role in determining if a structure is vascular, such as vein of Galen aneurysm, and in assessing embolization of a vascular malformation. Doppler sonography also can be used at the bedside to diagnose suspected thrombosis of intracranial vessels. The purpose of this essay is to review the role of sonography in the diagnosis, treatment, and follow-up of these conditions.

摘要

目前有三种主要的成像技术可用于评估婴儿的中枢神经系统疾病

超声检查、CT和磁共振成像(MR成像)。没有一种技术在所有情况下都是最佳的。综合方法可能是最合适且最具成本效益的。超声检查在筛查和随访早产儿颅内出血、诊断先天性脑畸形以及脑积水婴儿的初步诊断和随访中发挥作用。超声检查可用于诊断脑室周围白质软化和缺氧/缺血性损伤,但在急性期相对不敏感。多普勒超声检查在确定某个结构是否为血管性结构(如大脑大静脉瘤)以及评估血管畸形的栓塞情况方面发挥作用。多普勒超声检查还可在床边用于诊断疑似颅内血管血栓形成。本文的目的是综述超声检查在这些疾病的诊断、治疗和随访中的作用。

相似文献

1
Sonography of the brain in infants: role in evaluating neurologic abnormalities.婴儿脑部超声检查:在评估神经功能异常中的作用
AJR Am J Roentgenol. 1995 Aug;165(2):417-23. doi: 10.2214/ajr.165.2.7618570.
2
Pediatric neurosonography.小儿神经超声检查
J Child Neurol. 1986 Oct;1(4):319-37. doi: 10.1177/088307388600100403.
3
Sonography, CT, and MR imaging: a prospective comparison of neonates with suspected intracranial ischemia and hemorrhage.超声检查、CT和磁共振成像:对疑似颅内缺血和出血的新生儿进行的前瞻性比较。
AJNR Am J Neuroradiol. 2000 Jan;21(1):213-8.
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Three-dimensional sonographic features of fetal central nervous system anomaly.胎儿中枢神经系统异常的三维超声特征。
Acta Obstet Gynecol Scand. 2000 Aug;79(8):635-9.
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Transvaginal sonography of the fetal brain: detection of abnormal morphology and circulation.
Croat Med J. 1998 Jun;39(2):147-57.
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Sonographic findings in infants with macrocrania.巨颅症婴儿的超声检查结果
AJR Am J Roentgenol. 1988 Jun;150(6):1359-65. doi: 10.2214/ajr.150.6.1359.
7
Hypoxic ischemic cerebral lesions of the newborn--ultrasound diagnosis. Pictorial essay.新生儿缺氧缺血性脑损伤——超声诊断。图文综述。
Med Ultrason. 2011 Dec;13(4):314-9.
8
[Diagnosis of an aneurysm of the great cerebral vein of Galen using duplex sonography].
Padiatr Padol. 1986;21(4):377-84.
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[Transcranial Doppler sonography in children. 2. Clinical uses].
Ultraschall Med. 1989 Oct;10(5):237-44. doi: 10.1055/s-2007-1006000.
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Pediatric cranial Doppler sonography in children: non-sickle cell applications.儿童的儿科颅多普勒超声检查:非镰状细胞应用
Curr Probl Diagn Radiol. 2009 Sep-Oct;38(5):218-27. doi: 10.1067/j.cpradiol.2008.05.004.

引用本文的文献

1
Neonatal cranial sonography: A concise review for clinicians.新生儿颅脑超声检查:临床医生简明综述
J Pediatr Neurosci. 2016 Jan-Mar;11(1):7-13. doi: 10.4103/1817-1745.181261.
2
Cranial Ultrasonography in Infantile Encephalitic Beriberi: A Useful First-Line Imaging Tool for Screening and Diagnosis in Suspected Cases.婴儿脑型脚气病的头颅超声检查:疑似病例筛查和诊断的有用一线成像工具
AJNR Am J Neuroradiol. 2016 Aug;37(8):1535-40. doi: 10.3174/ajnr.A4756. Epub 2016 Apr 7.