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

Journal Article · Sat Oct 01 00:00:00 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), Vol. 149:1
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
59 BASIC BIOLOGICAL SCIENCES
COMPUTERIZED TOMOGRAPHY
COMPARATIVE EVALUATIONS
HEMORRHAGE
DIAGNOSIS
MALFORMATIONS
ULTRASONOGRAPHY
BRAIN
HEAD
INFANTS
INFLAMMATION
AGE GROUPS
BODY
BODY AREAS
CENTRAL NERVOUS SYSTEM
CHILDREN
DIAGNOSTIC TECHNIQUES
NERVOUS SYSTEM
ORGANS
PATHOLOGICAL CHANGES
SYMPTOMS
TOMOGRAPHY
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550800 - Morphology
550900 - Pathology