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Neonatal cerebral infarction: USS or CT for imaging?
1North West Regional Hospital, Burnie TAS, Australia.
Indian Journal of Pediatrics
|May 8, 2000
Summary
Neonatal cerebral infarction, a common cause of seizures in newborns, is often overlooked. Computerised tomography (CT) is crucial for accurate diagnosis when ultrasound scans (USS) may be insufficient.
Area of Science:
- Neurology
- Pediatrics
- Neonatology
Background:
- Neonatal cerebral infarction is a significant cause of seizures in term newborns.
- It is underrecognized by general practitioners and pediatricians, despite its prevalence.
Observation:
- Cranial Ultrasound Scan (USS) is the standard imaging modality in neonatal intensive care units.
- However, USS can provide a false sense of security, particularly in term neonates.
Findings:
- This case highlights neonatal cerebral infarction as a critical diagnosis.
- Computerised tomography (CT) is essential for definitive imaging and diagnosis.
Implications:
- Increased awareness of neonatal stroke among healthcare professionals is necessary.
- CT imaging should be considered when USS findings are inconclusive or negative in suspected cases of neonatal infarction.