• Published
    06-03-2024
  • Issue
    Vol: 28 Issue: 01, 2024
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THE USE OF CRANIAL ULTRASONOGRAPHY IN THE ASSESSMENT OF BRAIN DAMAGE IN PRETERM INFANTS

  • Dr.Abhishek.N.A, Dr.Ashutosh Patel, Dr.Janvhi Gugale, Dr.Pradip Jhala, Dr.Sanjana S Sharoff

Keywords: #

ABSTRACT:-
Introduction: Intracranial haemorrhages, perinatal hypoxia, and congenital defects increase the likelihood of neurological disorders in preterm newborns. Appropriate care of these disorders depends on early detection. At the bedside, cranial ultrasonography can be utilised to diagnose certain kinds of illnesses. Goal: The current study was conducted to identify and categorise brain injuries using neurosonograms and to assess whether or not these findings might be used to predict prognosis and outcome at the conclusion of the investigation. Materials and Methods: This was a prospective study carried out at Dhiraj general Hospital,Gujarat over a period of 6 months.This study involved 60 preterm infants who had possible neurological damage. Within a week after delivery, a neurosonogramwas performed and a follow-up scan was completed a month later. Findings: In our current study,18.3%(n=11) of preterm newborns had abnormal CUS.Of the neonates,38.3% were females and 61.6% were males.Of these,3% had periventricular echogenecity, 1.6% had ventriculomegaly, 1.6% had periventricular leukomalacia and 11.6% showed signs of cerebral haemorrhage. Seizures were the most frequent clinical presentation which was followed by lethargy and lack of sucking. The majority of newborns with brain damage were born before 32 weeks. Conclusion: The most effective way to look at potential neurological damage in preterm babies is via a neurosonogram. For preterm babies, it is recommended to perform neurosonogram investigations within the first week of life and a follow-up scan at the end of the first month. It is inexpensive, easily accessible, repeatable, non-invasive and non-ionizing.