CR

Neonatal Brain Ultrasound

- -

Fontanelle compression test

True sagittal midline

Angled parasagittal

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Anterior horns of lateral ventricles

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3rd ventricle

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Classification of PVH-IVH based on radiological findings (Papile, 1983)

Grade
I II

Site of hemorrhage
Subependymal region and/or germinal matrix Subependymal hemorrhage with extension into lateral ventricles without ventricular enlargement

III IV

Subependymal hemorrhage with extension into lateral ventricles with ventricular enlargement Intraparenchymal hemorrhage

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Intracranial lesions in the preterm infant

Hemorrhagic

IVH: Intraventricular hemorrhage PVH: Periventricular hemorrhage (PVH) (Post-hemorrhagic hydrocephlus)

Ischemic

PVL: Periventricular leucomalacia Ventricular enlargement (cortical atrophy) Porencephalic cysts (Arterial infarct)
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PVH-IVH
Predominantly affects the periventricular white matter (motor tracts) Associated with long-term disability in prematurely-born infants

Cerebral palsy Developmental delay Seizures Blindness Deafness

Decreased incidence, but more survivors

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Grade I:

bilateral germinal matrix haemorrhage

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Grade II

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Grade III IVH

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Grade IV IVH

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Carotid Ultrasound
Carotid Ultrasound - -CCA

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ECA

ICA BLUB

CCA

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Carotid Doppler

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Carotid Dissection

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CVP placement

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Transcranial ultrasound

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Transcranial Doppler

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Midline Shift

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Midline Shift Variation

AJNR Am J Neuroradiol 20:15671571, September 1999

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Acute Epidural Hematoma

Intensive Care Med. 2010 Jun;36(6):1091-2

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Ocular Ultrasound

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How to scan?

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IICP?

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IICP?
IICP 1. high frequency, high resolutionlinear probe (7.5-10MHz) 2. 3mmOptic Nerve Sheath Diameter(ONSD) 3. ONSD 5mmIICP 4. Sensitivity 100%, Sepcificity 63%
Annals of Emergency Medicine Volume 49, No. 4, April, 2007
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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2009, 17:34

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Parotid abscess / parotitis

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Maxillary Sinusitis

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Epiglottitis

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Take Home Message

CCAFlap CVAICH IICP
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Special thanks to~~

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Thanks for your attention !!

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