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Transcranial Sonographic Evaluation of Preterm Neonates Presenting with Seizures and Its Association with Intracranial Abnormalities
Author(s):
1. Zobia Saleem: Department of Radiology and Medical Imaging, The University of Lahore,Lahore,Pakistan
2. Raham Bacha: Department of Radiology and Medical Imaging, The University of Lahore,Lahore,Pakistan
3. Summan Hameed: Department of Radiology and Medical Imaging, The University of Lahore,Lahore,Pakistan
Abstract:
This study aimed to determine the association of intracranial abnormalities through transcranial ultrasound in preterm neonates having seizures and to analyse them with preterm classes. It was a cross-sectional analytical study at the Radiology Department of Shalamar Hospital, Lahore. This study observed a total of 103 pretermers with a history of seizures through transcranial ultrasound. These pretermers were classi ed into three classes according to their gestational age. Abnormal cranial scans were found in 42 (40.8%) preterm infants, with ventriculomegaly and intracranial haemorrhage more common in 18.4% and 17.5% of neonates. The p-values for intracranial haemorrhage in classes I, II, and III were 0.016, 0.001, and <0.001, respectively, while ventriculomegaly in preterm classes II and III was 0.003 and <0.001, respectively. In all preterm categories, intracranial haemorrhage was found to be the most likely cause of seizures, which tended to increase with decreasing gestational age. However, ventriculomegaly was identi ed as a signi cant cause of seizures in preterm classes II and III but not in class I.
Page(s): 1073-1075
Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 33, Issue: 9, Year: 2023
Keywords:
Seizures , Preterm , Cranial Ultrasound
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