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Late onset cystic leucomalacia
Archives of Disease in Childhood
|March 1, 1986
Insights
Extensive cystic leucomalacia can develop in premature infants. Regular ultrasound screening up to 40 weeks postmenstrual age is recommended for early detection, especially after clinical decline.
Area of Science:
- Neonatal Medicine
- Pediatric Radiology
- Neurodevelopmental Pediatrics
Background:
- Cystic leucomalacia is a severe form of white matter injury in premature infants.
- Early detection is crucial for timely intervention and management of neurological complications.
Purpose of the Study:
- To report ultrasound findings in premature infants with extensive cystic leucomalacia.
- To emphasize the importance of serial ultrasounds in detecting this condition.
Main Methods:
- Retrospective review of ultrasound findings in eight premature infants.
- Correlation of imaging findings with clinical course.
Main Results:
- All eight infants developed extensive cystic leucomalacia after the first two weeks of life.
- Ultrasound demonstrated characteristic cystic changes in the white matter.
Conclusions:
- Ultrasound is a valuable tool for diagnosing cystic leucomalacia in premature infants.
- Consider ultrasound examinations after clinical deterioration in preterm infants up to 40 weeks' postmenstrual age to identify extensive cystic leucomalacia.
Abstract:
The ultrasound findings of eight premature infants who developed extensive cystic leucomalacia after the first two weeks of life are reported. Ultrasound examinations should be considered after any clinical deterioration in preterm infants up to 40 weeks' postmenstrual age to avoid missing cases of extensive cystic leucomalacia.