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العنوان
The Predictive Value of Trancranial Ultrasound Doppler Parameters for Intracerebral Hemorrhage in Preterm and Low Birth Weight Neonates/
المؤلف
Abdulghaffar,Marwa Mohamed Mohamed .
هيئة الاعداد
باحث / مروة محمد محمد عبد الغفار
مشرف / خالد عصمت علام
مشرف / مها أحمد سيد عبد الكريم
مشرف / آية محمد شبانة
تاريخ النشر
2022
عدد الصفحات
155.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الأشعة والطب النووي والتصوير
تاريخ الإجازة
1/1/2022
مكان الإجازة
جامعة عين شمس - كلية الطب - Diagnostic Radiology
الفهرس
Only 14 pages are availabe for public view

from 154

from 154

Abstract

Background: Premature and low birth neonates are liable for many medical problems including intracranial hemorrhage. Transcranial Ultrasound examination and using different Doppler parameters of both ACA and MCA is considered as a good tool that is non invasive, cost effective and convenient to neonates to detect any intracerebral hemorrhage that they are risk for.
Aim of the Work: The aim of the current study was the detection of a predictive value of intracereberal hemorrhage in the examined neonates.
Patients and methods: The study was preformed on 33 preterm and low birth weight neonates attending Ain Shams university neonate intensive care unit and Ultrasound examination by B-Mode followed by Doppler examination were performed in two settings, at one day of birth considered as the first read and after 4-8 days which were considered as the second read to all studied neonates.
Results: Different doppler parameters are important to differentiate between hemorrhagic and non hemorrhagic groups and also a predicting factor for hemorrhage as PSV2, MV, RI and PI gave a statistically significant difference between hemorrhagic and non hemorrhagic group. While ACA compared to MCA has less branches and smaller diameter, its parameters are more sensitive in detection and prediction of hemorrhage than that of MCA. EDV1 of ACA more than 8.1 cm/sec. was the most sensitive predictor of intra cerebral hemorrhage in the present study.
Conclusion: In the current study, where more details examined upon ACA and MCA separately, it was found that EDV1 in the ACA is more predictive value than that of MCA which is even more than 7.1 which is still can also used as a predictive value for intracranial hemorrhage.