CONDITION OF CEREBROSPINAL FLUID SPACES IN PREMATURE INFANTS.
DOI:
https://doi.org/10.11603/24116-4944.2015.1.4667Keywords:
premature infants, ultrasound examination, interhemispheric slit.Abstract
Ultrasound examination is one of the most common method for assessing the state of the nervous system. Several studies have shown that the method is quite valuable in measuring the subarachnoid spaces in normally developing infants. However, the correlation between such features as calendar age, gestational age and condition of the exterior liquor spaces is controversial. In our study, we sought to determine the relationship between calendar age in premature infants (gestational age was different at birth) and the state of the subarachnoid space. In conducting the study, we missure hemispheric slit in 98 premature infants of different gestational age in the first five months of life. The obtained data have been analyzed with Statistica 8 software.
Dimensions of hemispheric slit in preterm infants with gestational age over 32 weeks - 2.30±0.14 mm (level 75th percentile - 3.0 mm level 95th percentile - 5.0 mm), with a gestational age of 28-32 weeks - 2.71±0,17 mm (level 75th percentile - 4.0 mm level 95th percentile - 5.5 mm) with gestational age less than 28 weeks - 1.20±0.11 mm. The smaller was the gestational age at birth, the smaller outdoor cerebrospinal fluid spaces. Systematic neurosonographic screening for preterm infants is necessary and appropriate to ensure early diagnosis, which could greatly improve the rehabilitation measures as well as to provide more accurate prognostic information.
References
Rutherford M. A. MRI of the Neonatal Brain, http://www.mrineonatalbrain.com/ index.php 2002-2015.
Early prediction of neurological outcome by term neurological examination and cranial ultrasound in very preterm infants / P. Amess, C. McFerran, Y. Khan, H. Rabe //Acta Paediatr. - 2009. - Vol. 98. - P. 448-453.
Sauve R. Routine screening cranial ultrasound examinations for the prediction of long term neurodevelopmental outcomes in preterm infants /R. Sauve // Paediatr. Child Health. - 2001. - Vol. 6(1). - P. 39-43.
Paciorkowski A. R.When Is Enlargement of the Subarachnoid Spaces Not Benign? A Genetic Perspective / A. R. Paciorkowski, R. M. Greenstein // Pediatric Neurology - 2007. - Vol. 37 (Issue 1) - P. 1-7.
Benign external hydrocephalus: a review, with emphasis on management / S. M. Zahl, A. Egge, E. Helseth [et al.] // Neurosurg. Rev. - 2011. - Vol. 34. - P. 417- 432.
Libicher M. US measurement of the sub-arachnoid space in infants: normal values / M. Libicher, J. Truger / / Radiology. - 1992. - Vol. 184. - P. 749-751.
Frankel D. A. High resolutionsonographic determination of the normal dimensions ofthe intracranial extraaxial compartment in the newborninfant / D. A. Frankel, D. P. Fessell, W. P. Wolfson // J. Ultrasound Med. - 1998. - Vol. 17. - P. 411-415.
A novel index in healthy infants and children —subarachnoid space: ventricle ratio / A. Okur, O. Kucuk, S. Karacavus [et al.] // Folia Morphol. - 2013. - Vol. 72 (2). - P. 142-146.
Developmental changes in normal cranial measurements by com-puted tomography / Y. Fukuyama, M. Miyao, T. Ishizu, H. Maruyama // Dev. Med. Child. Neurol. - 1979. - Vol. 21. - P. 425-432.
Pedersen H. Measurement of the normal ventricular system and supratentorial subarachnoid space in children with computed tomography. / H. Pedersen, M. Gyldensted, C. Gyldensted // Neuroradiology. - 1979. - Vol. 17. - P. 231-237.
External hydrocephalus: radiologic spectrum and differentia-tion from cerebral atrophy / J. Maytal, L. A. Alvarez, C. M. Elkin, S. Shinnar//Am. J. Roentgenol. - 1987. - Vol. 148. - P. 1223-1230.
Measurement of the subarachnoid space by ultrasoundin preterm infants / D. L. Armstrong, C. Bagnall, J. E. Harding, R. L. Teele // Arch. Dis. Child. Fetal. Neonatal. Ed. - 2002. - Vol. 86. - P. 124-126.
Subdural hematomas in infants with benign enlargement of the subarachnoid spaces are not pathognomonic for child abuse / P. D. McNeely, J. D. Atkinson, G. Saigal [et al.] // AJNR Am. J. Neuroradiol. - 2006. - Vol. 27. - P. 1725-1728.
Prevalence of Subdural Collections in Children with Macrocrania / M. V. Greinera, T. J. Richardsb, M. M. Careb, J. L. Leachb // AJNR. - 2013. - Vol. 34. - P. 2373-2378.
Barashnev YU. Y. Perynatalʹnaya nevrolohyya / YU. Y. Barashnev. - M. : Tryada-KH, 2001. - 640 s.
Ultrasonographic measurement of subarachnoid space and frontal horn width in healthy iranian infants iran / S. Sabouri, A. Khatami, M. Shahnazi [et al.] // J. Child Neurology. - 2011. - Vol. 5 (1). - P. 9-14.
Ultrasonographic measurement of subarachnoid space in normal infants and children / W. W. Lam, V. H. Ai, V. Wong, L. L. Leong // Pediatr. Neurol. - 2001. - Vol. 25(5). - P. 380-384.
Nogueira G. J. Hypodense extracerebral images on computed tomography in children. "External hydrocephalus": a misnomer? / G. J. Nogueira, H. F. Zaglul // Childs Nerv. Syst. - 1991. - Vol. 7. - P. 336-341.
Gravendeel J. Cerebral biometry at birth and at 4 and 8 months of age. A prospective study using US / J. Gravendeel, K. Rosendahl // Pediatric Radiology. - 2010. - Vol. 40 (10). - P. 1651-1656.
Martynyuk V. YU. Klynycheskaya neyrosonohrafyya v dyahnostyke narushenyy lykvorodynamyky udetey ranneho vozrasta / V. YU. Martynyuk, E. A. Makarova // Novi tekhnolohiyi v nadanni medychnoyi dopomohy novonarodzhenym : materialy spilʹnoyi ukrayinsʹko-polʹsʹkoyi nauk.-prakt. konf. neonatolohiv. - K., 2000. - S. 79-83.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish in this journal agree to the following terms:
1. The authors reserve the right to authorship of the work and pass the journal right of first publication of this work is licensed under a Creative Commons Attribution License, which allows others to freely distribute the work published with reference to the authors of the original work and the first publication of this magazine.
2. Authors are entitled to enter into a separate agreement on additional non-exclusive distribution of work in the form in which it was published in the magazine (eg work place in the electronic repository institution or publish monographs in part), provided that the reference to the first publication of this magazine.
3. Policy magazine allows and encourages authors placement on the Internet (eg, in storage facilities or on personal websites) manuscript of how to submit the manuscript to the editor and during his editorial processing, since it contributes to productive scientific discussion and positive impact on the efficiency and dynamics of citing published work (see. The Effect of Open Access).
