Tayyaba Khawar Butt, Liaqat A H, Shazia Maqbool.
Cranial ultrasound scan findings in neonates with seizures.
Pak Paed J Jan ;29(3):139-44.

Objectives: To analyze the cranial USS findings in neonates presenting with seizures. Design: Observational study with prospective collection of data. Place and duration: The study was carried out in the Neonatology Unit at The Children`s Hospital and the Institute of Child Health, Lahore. Subjects and Methods: All babies presenting with fits from 01/10/03 to 31/03/04 were entered on a database prospectively and the results analyzed. Babies with kernicterus and tetanus were excluded from the study. Results: One hundred and twenty five babies were included in the study. Scanning was possible in 122. Three of them could not be scanned because of short stay on the unit. No abnormality could be detected in 75 cases. Thirty five had findings compatible with those of ischaemia. Dilated ventricles were found in seven scans. Intracerebral haemorrhage was seen in four while one baby had absent corpus callosum and midline structures with single dilated ventricle (porencephaly). Conclusions: In our group of neonates who presented with seizures, scan findings compatible with asphyxia/ischaemia were most commonly observed. In majority of these cases there was clinical history of birth asphyxia.

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