Witzel V K, Storto J
Fortschr Med. 1977 Jan 20;95(3):143-50.
The study includes a continuous and unselected group of 125 premature infants whose birth weight was below 2500 gr. The echo-encephalogram was done at the time when the infants had reached a weight of 2500 gr. The width of the third ventricle and the brain mantle index (relation between the distances of midline echo-end echo and echo of the lateral wall of the temporal horn-end echo) were measured. The third ventricle showed a normal width of 2--3 mm which was independant from birth weight and gestational age. There were only two infants with higher values, one of them had different symptoms of brain damage. The calculation of the brain mantle index showed unsatisfactory results. The values varied between 2,35 and 4,91. They were markedly beyond the normal value of 2,4 of adults and bigger children. Technical difficulties in temporal horn and inaccuracy in reading the results on the screen as a possible cause of these discrepancies are disussed.
该研究纳入了一组连续且未经筛选的125例出生体重低于2500克的早产儿。当婴儿体重达到2500克时进行了脑回声图检查。测量了第三脑室的宽度和脑壳指数(中线回声-端回声与颞角侧壁回声-端回声之间距离的关系)。第三脑室显示正常宽度为2 - 3毫米,这与出生体重和胎龄无关。只有两名婴儿的值较高,其中一名有不同的脑损伤症状。脑壳指数的计算结果不尽人意。其值在2.35至4.91之间变化。它们明显超出了成年人和较大儿童2.4的正常值。文中讨论了颞角的技术困难以及在屏幕上读取结果的不准确可能是这些差异的原因。