Background: Preterm infants are vulnerable to variable degree of brain injury with their risky neurodevelopmental outcome due to their immaturity of their cerebral autoregualtion mechanisms .Therefore, screening of these infants is required to assess these upnormalites especially those are clinically silent .
Objective: The present study was carried out to find cranial ultrasound abnormalities in preterm neonates to who are clinically silent to early predict these upnormalites to prevent their long term neurodevelopmenal risky outcome.
Patients and Methods: This cross sectional study was conducted in Banha University Hospital from January 2016 to June 2016. Total 100 preterm neonates who met the inclusion criteria were enrolled in the study. The neonates underwent cranial ultrasound (TCUS) scan just after admission and before discharge for screening at risk infants.
Results: Total 100 neonates were enrolled with mean gestational age of normal TCUS was 32.8 week and with abnormal TCUS was 32.2 week and the mean birth weight within the preterm with normal us finding was (1.493 kg) while the mean within the upnormal group was (1.475kg).. Among the neonates, 52 (52%) were males and 48(48%) were females. At time of admission out of the 100preterm,60 (60%)had normal TCUS findings ,while(40) 40 %with upnormal TCUS findings of which of 20(20%) had Grade I IVH ,4(4%) Grade III IVH ,8(8%) PVL ,4(4%) with cerebral edema 4(4%) with congenital anomalies .
Conclusion: Routine cranial ultrasound screening of preterm neonates who are clinically silent may aid in identifying at risk infants to minimize the risk of longterm neurodevelopmental outcome .
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