Startseite Birth weight-related percentiles of brain ventricular system as a tool for assessment of posthemorrhagic hydrocephalus and ventricular enlargement
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Birth weight-related percentiles of brain ventricular system as a tool for assessment of posthemorrhagic hydrocephalus and ventricular enlargement

  • Sebastian Hartenstein EMAIL logo , Christian Bamberg , Hans Proquitté , Boris Metze , Christoph Bührer und Thomas Schmitz
Veröffentlicht/Copyright: 17. September 2015
Journal of Perinatal Medicine
Aus der Zeitschrift Journal of Perinatal Medicine Band 44 Heft 2

Abstract

Besides remarkable improvements of neonatal medical therapy, neurological morbidity remains a major concern in preterm infants. In particular, intracranial hemorrhage is a severe complication strongly correlated to poor neurological outcome. For early clinical assessment of intracranial hemorrhage and its impact on the ventricular system, cranial sonography is an important bedside diagnostic tool. Reference values of ventricular sizes are available in relation to gestational age (GA). So far, it has not been demonstrated that ventricular size values are also reliable in relation to birth weight (BW). In this study, we performed cranial ultrasonography in 250 preterm and term newborn infants. Measurements of the intracranial ventricular system by cranial ultrasound examination were performed within 72 h after birth. We determined ventricular index, anterior horn width, width of the third ventricle, width and length of the fourth ventricle for statistical analysis in relation to BW and GA. GA ranged from 23 weeks, 3 days to 42 weeks, 1 day (mean: 33 weeks), BW ranged from 345 to 5620 g (mean: 2146 g). Ventricular index and fourth ventricle width revealed a significant correlation to birth weight with r=0.75, each. A significant correlation to birth weight was also obtained for width and length of the third ventricle (r=0.55 and 0.47, respectively). Correlations obtained for ventricular measures in relation to GA were similar to those referring to BW. In preterm and term infants, ventricular sizes in relation to BW seem reliable for assessment and monitoring of ventricular pathologies, i.e. after intracranial hemorrhage.

Keywords: Cranial ultrasound; intracranial hemorrhage; preterm infant; ventricular system
Corresponding author: Sebastian Hartenstein, MD, Klinik für Neonatologie, Campus Virchow Klinikum, Charité – Universitätsmedizin Berlin, Augustenburger Platz 1, 13353 Berlin, Germany, Tel.: +49 30 450 666413, Fax: +49 30 450 559979, E-mail: ; and Department of Neonatology, Charité Universitätsmedizin Berlin, Germany

References

[1] Leijser LM, Srinivasan L, Rutherford MA, Counsell SJ, Allsop JM, Cowan FM. Structural linear measurements in the newborn brain: accuracy of cranial ultrasound compared to MRI. Pediatr Radiol. 2007;37:640–8.10.1007/s00247-007-0485-2Suche in Google Scholar PubMed

[2] Lowe LH, Bailey Z. State-of-the-art cranial sonography: part 1, modern techniques and image interpretation. Am J Roentgenol. 2011;196:1028–33.10.2214/AJR.10.6160Suche in Google Scholar PubMed

[3] Lowe LH, Bailey Z. State-of-the-art cranial sonography: part 2, pitfalls and variants. Am J Roentgenol. 2011;196:1034–9.10.2214/AJR.10.6203Suche in Google Scholar PubMed

[4] Whitelaw A, Aquilina K. Management of posthaemorrhagic ventricular dilatation. Arch Dis Child Fetal Neonatal Ed. 2012;97:F229–3.10.1136/adc.2010.190173Suche in Google Scholar PubMed

[5] Brouwer MJ, de Vries LS, Pistorius L, Rademaker KJ, Groenendaal F, Benders MJNL. Ultrasound measurements of the lateral ventricles in neonates: why, how and when? A systematic review. Acta Paediatr. 2010;99:1298–306.10.1111/j.1651-2227.2010.01830.xSuche in Google Scholar PubMed

[6] Routine screening cranial ultrasound examinations for the prediction of long term neurodevelopmental outcomes in preterm infants. Paediatr Child Health. 2001;6:39–52.10.1093/pch/6.1.39Suche in Google Scholar PubMed PubMed Central

[7] Govaert P, Pauwels W, Vanhaesebrouck P, De Praeter C, Afschrift M. Ultrasound measurement of the subarachnoid space in infants. Eur J Pediatr. 1989;148:412–3.10.1007/BF00595899Suche in Google Scholar PubMed

[8] Sabouri S, Khatami A, Shahnazi M, Tonekaboni SH, Momeni A, Mehrafarin M. Ultrasonographic measurement of subarachnoid space and frontal horn width in healthy Iranian infants. Iran J Child Neurol. 2011;5:9–14.Suche in Google Scholar

[9] Lam WW, Ai VH, Wong V, Leong LL. Ultrasonographic measurement of subarachnoid space in normal infants and children. Pediatr. Neurol. 2001;25:380–4.Suche in Google Scholar

[10] Armstrong DL, Bagnall C, Harding JE, Teele RL. Measurement of the subarachnoid space by ultrasound in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2002;86:F124–6.10.1136/fn.86.2.F124Suche in Google Scholar

[11] Narli N, Soyupak S, Yildizdaş HY, Tutak E, Ozcan K, Sertdemir Y, et al. Ultrasonographic measurement of subarachnoid space in normal term newborns. Eur J Radiol. 2006;58:110–2.10.1016/j.ejrad.2005.11.007Suche in Google Scholar PubMed

[12] Davies MW, Swaminathan M, Chuang SL, Betheras FR. Reference ranges for the linear dimensions of the intracranial ventricles in preterm neonates. Arch Dis Child Fetal Neonatal Ed. 2000;82:F218–23.10.1136/fn.82.3.F218Suche in Google Scholar

[13] Sondhi V, Gupta G, Gupta PK, Patnaik SK, Tshering K. Establishment of nomograms and reference ranges for intra-cranial ventricular dimensions and ventriculo-hemispheric ratio in newborns by ultrasonography. Acta Paediatr. 2008;97:738–44.10.1111/j.1651-2227.2008.00765.xSuche in Google Scholar PubMed

[14] Maalouf EF, Duggan PJ, Counsell SJ, Rutherford MA, Cowan F, Azzopardi D, et al. Comparison of findings on cranial ultrasound and magnetic resonance imaging in preterm infants. Pediatrics. 2001;107:719–27.10.1542/peds.107.4.719Suche in Google Scholar PubMed

[15] Brouwer AJ, Brouwer MJ, Groenendaal F, Benders MJNL, Whitelaw A, de Vries LS. European perspective on the diagnosis and treatment of posthaemorrhagic ventricular dilatation. Arch Dis Child Fetal Neonatal Ed. 2012;97:F50–5.10.1136/adc.2010.207837Suche in Google Scholar PubMed

[16] Levene MI. Measurement of the growth of the lateral ventricles in preterm infants with real-time ultrasound. Arch Dis Child. 1981;56:900–4.10.1136/adc.56.12.900Suche in Google Scholar PubMed PubMed Central

[17] Grasby DC, Esterman A, Marshall P. Ultrasound grading of cerebral ventricular dilatation in preterm neonates. J. Paediatr. Child Health. 2003;39:186–90.Suche in Google Scholar

[18] Di Salvo DN. A new view of the neonatal brain: clinical utility of supplemental neurologic US imaging windows. Radiogr Rev Publ Radiol Soc N Am Inc. 2001;21:943–55.10.1148/radiographics.21.4.g01jl14943Suche in Google Scholar PubMed

[19] Enriquez G, Correa F, Aso C, Carreño JC, Gonzalez R, Padilla NF, et al. Mastoid fontanelle approach for sonographic imaging of the neonatal brain. Pediatr Radiol. 2006;36:532–40.10.1007/s00247-006-0144-zSuche in Google Scholar PubMed

[20] Taylor R. Interpretation of the correlation coefficient: a basic review. J Diagn Med Sonogr. 1990;6:35–9.10.1177/875647939000600106Suche in Google Scholar

[21] Hagmann CF, Robertson NJ, Acolet D, Nyombi N, Ondo S, Nakakeeto M, et al. Cerebral measurements made using cranial ultrasound in term Ugandan newborns. Early Hum Dev. 2011;87:341–7.10.1016/j.earlhumdev.2011.01.044Suche in Google Scholar PubMed

The authors stated that there are no conflicts of interest regarding the publication of this article.

Received: 2015-3-6
Accepted: 2015-8-12
Published Online: 2015-9-17
Published in Print: 2016-3-1

©2016 by De Gruyter

Artikel in diesem Heft

  1. Frontmatter
  2. Editorial
  3. Current topics on ultrasound in perinatology
  4. Recommendation and Guidelines for Perinatal Practice
  5. Ultrasound in Africa: what can really be done?
  6. 3D/4D sonography – any safety problem
  7. Controversial ultrasound findings in mid trimester pregnancy. Evidence based approach
  8. Academy’s Corner
  9. Sonoembryology by 3D HDlive silhouette ultrasound – what is added by the “see-through fashion”?
  10. Original articles – Obstetrics
  11. How effective is ultrasound-based screening for trisomy 18 without the addition of biochemistry at the time of late first trimester?
  12. Single center experience in selective feticide in high-order multiple pregnancy: clinical and ethical issues
  13. Diagnostic accuracy of cervical elastography in predicting labor induction success: a systematic review and meta-analysis
  14. Birth weight-related percentiles of brain ventricular system as a tool for assessment of posthemorrhagic hydrocephalus and ventricular enlargement
  15. First trimester erythropoietin (EPO) serum concentration as a potential marker for abnormal placentation disorders. Reference values for erythropoietin (EPO) concentration at 11–13+6 weeks of gestation
  16. Original articles – Fetus
  17. Nonimmune fetal ascites: identification of ultrasound findings predictive of perinatal death
  18. First trimester severe ductus venosus flow abnormalities in isolation or combination with other markers of aneuploidy and fetal anomalies
  19. Evaluation of the adequacy of reference charts for the accurate identification of fetuses with bone length below the 5th percentile
  20. Does ethnicity have an effect on fetal behavior? A comparison of Asian and Caucasian populations
  21. Accuracy of ultrasound in estimating fetal weight and growth discordancy in triplet pregnancies
  22. Fetal nasal bone length in the second trimester: comparison between population groups from different ethnic origins
  23. Pregnancy outcome and long-term follow-up of fetuses with isolated increased NT: a retrospective cohort study
  24. Effect of antenatal betamethasone administration on Doppler velocimetry of fetal and uteroplacental vessels: a prospective study
  25. Opinion paper
  26. Fetal cerebro-placental ratio and adverse perinatal outcome: systematic review and meta-analysis of the association and diagnostic performance
  27. Congress Calendar
  28. Congress Calendar
https://doi.org/10.1515/jpm-2015-0085
Schlagwörter für diesen Artikel
Cranial ultrasound; intracranial hemorrhage; preterm infant; ventricular system

Artikel in diesem Heft

  1. Frontmatter
  2. Editorial
  3. Current topics on ultrasound in perinatology
  4. Recommendation and Guidelines for Perinatal Practice
  5. Ultrasound in Africa: what can really be done?
  6. 3D/4D sonography – any safety problem
  7. Controversial ultrasound findings in mid trimester pregnancy. Evidence based approach
  8. Academy’s Corner
  9. Sonoembryology by 3D HDlive silhouette ultrasound – what is added by the “see-through fashion”?
  10. Original articles – Obstetrics
  11. How effective is ultrasound-based screening for trisomy 18 without the addition of biochemistry at the time of late first trimester?
  12. Single center experience in selective feticide in high-order multiple pregnancy: clinical and ethical issues
  13. Diagnostic accuracy of cervical elastography in predicting labor induction success: a systematic review and meta-analysis
  14. Birth weight-related percentiles of brain ventricular system as a tool for assessment of posthemorrhagic hydrocephalus and ventricular enlargement
  15. First trimester erythropoietin (EPO) serum concentration as a potential marker for abnormal placentation disorders. Reference values for erythropoietin (EPO) concentration at 11–13+6 weeks of gestation
  16. Original articles – Fetus
  17. Nonimmune fetal ascites: identification of ultrasound findings predictive of perinatal death
  18. First trimester severe ductus venosus flow abnormalities in isolation or combination with other markers of aneuploidy and fetal anomalies
  19. Evaluation of the adequacy of reference charts for the accurate identification of fetuses with bone length below the 5th percentile
  20. Does ethnicity have an effect on fetal behavior? A comparison of Asian and Caucasian populations
  21. Accuracy of ultrasound in estimating fetal weight and growth discordancy in triplet pregnancies
  22. Fetal nasal bone length in the second trimester: comparison between population groups from different ethnic origins
  23. Pregnancy outcome and long-term follow-up of fetuses with isolated increased NT: a retrospective cohort study
  24. Effect of antenatal betamethasone administration on Doppler velocimetry of fetal and uteroplacental vessels: a prospective study
  25. Opinion paper
  26. Fetal cerebro-placental ratio and adverse perinatal outcome: systematic review and meta-analysis of the association and diagnostic performance
  27. Congress Calendar
  28. Congress Calendar
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