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Cranial sonography in bacterial meningitis

R Mahajan1, A Lodha, R Anand

  • 1Department of Radiology, Kalawati Saran Childrens Hospital, New Delhi.

Indian Pediatrics
|September 1, 1995
PubMed
Summary
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Cranial ultrasonography effectively diagnoses acute bacterial meningitis (ABM) complications in infants. This imaging tool is reliable for identifying various abnormalities, aiding in timely management.

Area of Science:

  • Pediatric Neurology
  • Medical Imaging

Background:

  • Acute bacterial meningitis (ABM) poses significant risks to infants.
  • Early detection of ABM complications is crucial for effective treatment.

Purpose of the Study:

  • To evaluate the diagnostic utility of cranial ultrasonography in infants with ABM.
  • To identify sonographic abnormalities associated with ABM and its complications.

Main Methods:

  • Cranial ultrasonography was performed on 61 infants diagnosed with ABM.
  • Infants were categorized into Group I (no complications) and Group II (clinical evidence of complications).
  • Sonographic findings were analyzed and compared between groups.

Main Results:

  • Cranial ultrasound revealed abnormalities in 100% of infants with complications (Group II) and 31.9% of infants without complications (Group I).

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  • Common abnormalities included echogenic sulci, sulcal separation, abnormal parenchymal echoes, and ventriculomegaly.
  • Ultrasound findings demonstrated comparability to CT scans in a subset of cases.

    • Conclusions:

    • Cranial ultrasonography is a rapid, reliable, and effective diagnostic method for infants with ABM.
    • Ultrasound aids in the diagnosis and management of ABM, with or without complications.
    • The study highlights ultrasound's value in assessing neurological sequelae of ABM in neonates.