Role of Trans-cranial Ultrasonography and Color Doppler in Diagnosis and Grading of Neonatal Hypoxic–Ischemic Encephalopathy
Anany, A., Elrakhawy, M., Zarad, C., Abo Shanab, W. (2023). Role of Trans-cranial Ultrasonography and Color Doppler in Diagnosis and Grading of Neonatal Hypoxic–Ischemic Encephalopathy. EKB Journal Management System, 14(14), 95-111. doi: 10.21608/muj.2023.219149.1142
Aliaa Anany; Mohamed Elrakhawy; Carmen Ali Zarad; Waleed Said Abo Shanab. "Role of Trans-cranial Ultrasonography and Color Doppler in Diagnosis and Grading of Neonatal Hypoxic–Ischemic Encephalopathy". EKB Journal Management System, 14, 14, 2023, 95-111. doi: 10.21608/muj.2023.219149.1142
Anany, A., Elrakhawy, M., Zarad, C., Abo Shanab, W. (2023). 'Role of Trans-cranial Ultrasonography and Color Doppler in Diagnosis and Grading of Neonatal Hypoxic–Ischemic Encephalopathy', EKB Journal Management System, 14(14), pp. 95-111. doi: 10.21608/muj.2023.219149.1142
Anany, A., Elrakhawy, M., Zarad, C., Abo Shanab, W. Role of Trans-cranial Ultrasonography and Color Doppler in Diagnosis and Grading of Neonatal Hypoxic–Ischemic Encephalopathy. EKB Journal Management System, 2023; 14(14): 95-111. doi: 10.21608/muj.2023.219149.1142

Role of Trans-cranial Ultrasonography and Color Doppler in Diagnosis and Grading of Neonatal Hypoxic–Ischemic Encephalopathy

Medicine Updates
Article 7, Volume 14, Issue 14, July 2023, Page 95-111  XML PDF (1.57 MB)
Document Type: Original Article
DOI: 10.21608/muj.2023.219149.1142
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Authors
Aliaa Anany1; Mohamed Elrakhawy2; Carmen Ali Zarad email 3; Waleed Said Abo Shanab4
1Elnasr Hospital Port Said
2Faculty of medicine Mansoura University
3Diagnostic radiology faculty of medicine Portsaid University
4Diagnostic radiology, faculty of medicine, Port Said University
Abstract
Objective: To evaluate the role of trans-cranial ultrasound and trans-cranial Doppler of the anterior and middle cerebral arteries in diagnosis and grading of hypoxic ischemic encephalopathy (HIE).
Methods: The study was conducted on 26 cases and 26 controls in the neonatal intensive care unit incubator in Port Said governorate in Egypt. Each patient was subjected to full history taking, clinical examination, and transcranial ultrasound examination e.g., anterior cerebral artery and middle cerebral artery blood flow parameters using color Doppler flow image (CDFI), color Doppler energy (CDE), pulsed wave Doppler and measuring RI of both arteries.
Results: In 26 cases and 26 controls, there was statistically significant negative correlation between MCA RI and presence of HIE, and Apgar score. There was statistically significant positive correlation between MCA RI and both periventricular leukomalacia, and Periventricular leukomalacia grade.
There was statistically significant negative correlation between ACA RI and presence of HIE, and Apgar score, and statistically significant positive correlation between ACA RI and both of periventricular leukomalacia, periventricular leukomalacia grade, and Sarnat stages of HIE.
The mean right-side MCA, left-side MCA, and mean average MCA in control group were statistically significantly higher than the study group.
Conclusion: The newborn brain can be evaluated with trans-cranial ultrasonography and trans-cranial Doppler. For displaying types of cerebral damage in preterm neonates, gauging the lesion's progression and monitoring brain growth, US is safe and reliable approaches. transcranial Doppler US should be performed on neonates with HIE to predict the course of their clinical treatment.
Keywords
Encephalopathy; Ultrasonography; Doppler; Trans-cranial
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