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[Echoencephalography in premature infants. Normal values and limitations].

The study includes a continuous and unselected group of 125 premature infants whose birth weight was below 2500 gr. The echo-encephalogram was done at the time when the infants had reached a weight of 2500 gr. The width of the third ventricle and the brain mantle index (relation between the distances of midline echo-end echo and echo of the lateral wall of the temporal horn-end echo) were measured. The third ventricle showed a normal width of 2--3 mm which was independant from birth weight and gestational age. There were only two infants with higher values, one of them had different symptoms of brain damage. The calculation of the brain mantle index showed unsatisfactory results. The values varied between 2,35 and 4,91. They were markedly beyond the normal value of 2,4 of adults and bigger children. Technical difficulties in temporal horn and inaccuracy in reading the results on the screen as a possible cause of these discrepancies are disussed.

Birth Weight↗

Intracranial vessels with color Doppler echoencephalography in infants.

A technique for imaging of the intracranial vessels in infants was described, which used high resolution, commercially available, color Doppler ultrasonography (real-time two-dimensional Doppler). On 12 normal infants, serial scans were obtained in sagittal, coronal, and axial plains. A large number of intracranial arteries and veins could be clearly demonstrated in real-time, including anterior cerebral artery, pericallosal artery, middle cerebral artery, posterior cerebral artery, basilar artery, communicating artery, internal cerebral vein, inferior and superior sagittal sinuses, great cerebral vein, straight sinus, occipital sinus and transverse sinus. In conclusion, color Doppler examination is useful in the detection of vessels in infants and in the measurement of intracranial blood flow velocity.

Brain Diseases↗