[Infratentorial pathology a pitfall for neonatal cerebral sonography: Additional sonographic imaging through the posterolateral fontanelle, a prospective study].
BACKGROUND
Routine assessment of the neonatal brain is performed by ultrasound through the anterior fontanelle. The infratentorial structures can be visualised more detailed by sonography through the posterolateral fontanelle. This prospective study was performed to evaluate anterior fontanelle and posterolateral fontanelle for the detection of infratentorial lesions.


METHODS
Cerebral sonography was performed in 100 preterm infants at the median (range) age of 9 days (0 - 91 days). Median gestational age at birth was 33 weeks (23 - 36 weeks).


METHODS
Scanning through the posterolateral fontanelle was performed after sonography through the anterior fontanelle.


RESULTS
Neuropathology could be detected in 22 of the 100 preterms. In six patients infratentorial lesions were present in association with supratentorial pathology. The infratentorial abnormalities were clots in the IV. ventricle (n=3), clots in the cisterna magna (n=2), dilation of the IV. ventricle (n=3), dilation of the aqueduct (n=1), and a intraparenchymatous echodensity in the cerebellum (n=1) which receded. When clots were present in the lateral ventricles only the sonography through the posterolateral fontanelle allowed the detection of the infratentorial abnormalities.


CONCLUSIONS
Sonography through the posterolateral fontanelle allows the detection of infratentorial pathology missed by sonography through the anterior fontanelle. Additional scanning through the posterolateral fontanelle should be part of the standard neonatal cerebral sonography.
Baumeister
F A M
FA
Kinderklinik und Poliklinik der Technischen Universität München, Kinderklinik Schwabing, Germany.
Bester
S
S
Hahn
H
H
D002526:Cerebellar Diseases / Q000000981:diagnostic imaging*; D002535:Cerebral Aqueduct / Q000000981:diagnostic imaging*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging*; D002946:Cisterna Magna / Q000000981:diagnostic imaging*; D004453:Echoencephalography; D005260:Female; D005500:Follow-Up Studies; D020546:Fourth Ventricle / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000000981:diagnostic imaging*; D020766:Intracranial Embolism / Q000000981:diagnostic imaging; D008297:Male; D012680:Sensitivity and Specificity