[CT in hypoxia brain damage in asphyxia-prognostic estimation].
60 newborns with severe asphyxia 3-12 days after delivery were examined by CT. Low density in brain was found in 55 newborns (91.7%), and cerebral hemorrhage in 34 (56.7%). To detect MDI CDCC measurement by Balay's modification was done in 54 babies of whom 44 cases were within normal limits (MDI > 70). Low intelligence was found in 10 babies (16.7%), and 6 (14%) died. No cerebralplagia was found. No intelligence change was found in normal or mild CT changes. In 50 babies with severe or moderate change in CT scan, 16 (32%) showed poor prognosis (P < 0.05). Sensitivity and specificity for CT were 100% and 22.8% respectively, but the value of neonatal behavioral neurological assessment (NBNA) was 83.3% and 93.2%. We conclude that the mortality rate and poor prognosis are related to the degree of involvement of brainwhite matter or hemorrhage, and that CT examination is valuable in estimating the prognosis especially in combination of NBNA.
Yu
R J
RJ
Jiu Xian Qiao Hospital, Beijing.
D001238:Asphyxia Neonatorum / Q000150:complications / Q000000981:diagnostic imaging*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008607:Intellectual Disability / Q000209:etiology; D011379:Prognosis; D014057:Tomography, X-Ray Computed