A STUDY ON THE CORRELATION BETWEEN BRAIN CT-SCAN AND CLINICAL FINDINGS IN NEONATAL ASPHYXIA

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POUR ARIAN SH.; RASEKHI A.R.

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Journal: JOURNAL OF MEDICAL RESEARCH (JMR) Year:2004 | Volume:2 | Issue:3 Page(s): 42-53

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Title

A STUDY ON THE CORRELATION BETWEEN BRAIN CT-SCAN AND CLINICAL FINDINGS IN NEONATAL ASPHYXIA

Author(s)

POUR ARIAN SH. | RASEKHI A.R. | Issue Writer Certificate

Keywords

ASPHYXIAQ4

NEONATESQ2

BRAINQ2

CT-SCANQ3

Abstract

Background: BRAIN damage resulting from perinatal cerebral hypoxia-ischemia is a major cause of acute mortality and chronic neurological disability in infants and children. Statistics suggest an incidence of systemic ASPHYXIA up to 20 per 1000 full-term NEONATES. Between 20 to 50 percent of ASPHYXIAted newborns who exhibit hypoxic-ischemic encephalopathy die during the neonatal period. Among the available neuroimaging modalities, BRAIN CT-SCAN is superior as a new technique with a low cost. It is a non-invasive technique which can provide information about the nature and extent of cerebral damage. Patients and Methods: This is a cross-sectional analytical study performed for evaluation of NEONATES with ASPHYXIA who were admitted in the neonatal wards of Nemazee and Hafez Hospitals, Shiraz. Inclusion criteria were a gestational age of more than 37 weeks, appropriate weight for gestational age, severe peripartum ASPHYXIA, abnormal neurological signs and absence of major congenital anomalies. Staging of clinical findings was according to the Sarnat staging of hypoxic-ischemic encephalopathy which divided the cases into three groups. Correlation of clinical findings with BRAIN CT-SCAN was performed during the first two weeks of life and the data were analysed using chi-square and Fisher’s exact tests. Results: Forty-five NEONATES with ASPHYXIA were enrolled in this study. There was a statistically significant difference between the three stages of clinical findings and BRAIN edema (p=0.02) and possibility of BRAIN edema was more in the higher stages (stage one: 10 percent, stage two: 45 percent, stage three: 66.7 percent). Intracranial hemorrhage (ICH) was present in 15 cases (33.3 percent). The incidence of intracranial hemorrhage in stages 1, 2 and 3 were 20, 20 and 60 percent, respectively (p=0.027). There were 9 cases (20 percent) with normal and 36 cases (80 percent) with abnormal CT-SCAN findings which correlated directly with higher clinical stages. Abnormal findings in CT-SCAN were found in 75, 75 and 93.3 percent of the NEONATES in stages 1, 2 and 3, respectively, with 30 percent specificity and 83 percent sensitivity. Conclusion: According to clinical findings, severity of damage in ASPHYXIAted NEONATES and its complications such as BRAIN edema, intracranial hemorrhage and convulsion are directly related to BRAIN CT-SCAN findings. Therefore, in the absence of access to CT-SCAN, patients may be managed according to clinical findings.

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APA: Copy

POUR ARIAN, SH., & RASEKHI, A.R.. (2004). A STUDY ON THE CORRELATION BETWEEN BRAIN CT-SCAN AND CLINICAL FINDINGS IN NEONATAL ASPHYXIA. JOURNAL OF MEDICAL RESEARCH (JMR), 2(3), 42-53. SID. https://sid.ir/paper/105807/en

Vancouver: Copy

POUR ARIAN SH., RASEKHI A.R.. A STUDY ON THE CORRELATION BETWEEN BRAIN CT-SCAN AND CLINICAL FINDINGS IN NEONATAL ASPHYXIA. JOURNAL OF MEDICAL RESEARCH (JMR)[Internet]. 2004;2(3):42-53. Available from: https://sid.ir/paper/105807/en

IEEE: Copy

SH. POUR ARIAN, and A.R. RASEKHI, “A STUDY ON THE CORRELATION BETWEEN BRAIN CT-SCAN AND CLINICAL FINDINGS IN NEONATAL ASPHYXIA,” JOURNAL OF MEDICAL RESEARCH (JMR), vol. 2, no. 3, pp. 42–53, 2004, [Online]. Available: https://sid.ir/paper/105807/en

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