Perinatal hypoxic-ischaemic syndrome. Diagnostic and prognostic value of computed tomography.
Sixty-two full-term neonates with hypoxic-ischaemic encephalopathy were studied. Computed tomography (CT) was performed during the first week of life and the clinical and radiologic findings were correlated. In 57 cases (92%) CT was abnormal. Subarachnoid haemorrhage (SAH) was present in 53 cases, oedema in 23 cases and other lesions in 7 cases. Twenty-two cases had associated SAH and oedema. It was concluded that SAH and/or oedema has a good prognosis. When neurologic involvement is severe and CT shows signs of necrosis, the prognosis is less favourable.
Guardia
E
E
Seccion de Neuroradiologia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Demestre
X
X
Raspall
F
F
De Juan
M
M
Rovira
T
T
Altirriba
O
O
Ruscalleda
J
J
D001921:Brain / Q000000981:diagnostic imaging; D001929:Brain Edema / Q000000981:diagnostic imaging; D002545:Brain Ischemia / Q000000981:diagnostic imaging*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D002534:Hypoxia, Brain / Q000000981:diagnostic imaging*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011379:Prognosis; D013577:Syndrome; D014057:Tomography, X-Ray Computed