Cranial computed tomography and real-time sonography in full-term neonates and infants

Journal Article · Sat Oct 01 04:00:00 EDT 1983 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.149.1.6611914· OSTI ID:5578226

Siegel, M J; Patel, J; Gado, M H; Shackelford, G D

The results of cranial ultrasonography (US) and computed tomography (CT) were compared in 52 full-term neonates and young infants. The chief indications for examination included: increasing head size, dysmorphic features, myelomeningocele, inflammatory disease, and asphyxia. Disorders detected included hydrocephalus, parenchymal abnormalities, intracranial hemorrhage, extraparenchymal fluid collections, and vascular and other developmental malformations. CT and US essentially were equivalent in detecting hydrocephalus, moderate to large intraventricular hemorrhages or subdural collections, and large focal parenchymal lesions, although CT was somewhat better in determining the level and cause of obstruction in patients with hydrocephalus and characterizing parenchymal abnormalities. CT was more sensitive than ultrasound in detecting subarachnoid hemorrhage (100% vs. 0%), diffuse parenchymal abnormality (100% vs. 33%), and small intraventricular hemorrhages (100% vs. 0%) but these lesions often were not clinically significant. The results suggest that US should be used as the primary neuroradiological examination in term infants; CT probably should be reserved for further investigation after US in those patients with a history of hypoxia and progressive clinical deterioration.

• Research Organization: Washington Univ. School of Medicine, St. Louis, MO
• OSTI ID: 5578226
• Journal Information: Radiology; (United States), Journal Name: Radiology; (United States) Vol. 149:1; ISSN RADLA
• Country of Publication: United States
• Language: English

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59 BASIC BIOLOGICAL SCIENCES
62 RADIOLOGY AND NUCLEAR MEDICINE
AGE GROUPS
BODY
BODY AREAS
BRAIN
CENTRAL NERVOUS SYSTEM
CHILDREN
COMPARATIVE EVALUATIONS
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
HEAD
HEMORRHAGE
INFANTS
INFLAMMATION
MALFORMATIONS
NERVOUS SYSTEM
ORGANS
PATHOLOGICAL CHANGES
SYMPTOMS
TOMOGRAPHY
ULTRASONOGRAPHY