[The significance of neuroimaging in the evaluation of the newborn with neonatal asphyxia].
This is a retrospective study of 3069 newborns admitted to the Neonatology Department of the 1st Obstetrics and Gynaecology Clinic of Cluj-Napoca, Romania.


METHODS
We considered 38 newborns with the diagnosis of neonatal asphyxia. The neuroimaging performed was transphontanellar ultrasonography, CT-scan, MRI, depending on case. Post asphyxic syndrome evaluation, complete neurological examination, EEG and neuroimaging were performed.


RESULTS
The incidence of neonatal asphyxia was 1.15%. Neurological signs were present in 63.15% of the cases. Neurological aspects of newborns were present in different grades of hypoxic-ischaemic encephalopathy. EEG signs were present in 33.3% preterm newborns and 50% newborns at term. Transphontanellar ultrasonography showed different grades of intraventricular hemorrhage, periventricular leukomalacia in 35%. CT-scan was performed in 3 cases. MRI evaluation was performed in 8 cases and showed different types of cerebral ischaemia and cerebral atrophy. Neuroimaging is a marker for the evolution of cerebral injury.


CONCLUSIONS
The evaluation of the newborn with neonatal asphyxia must be complex, and include clinical data, EEG and neuroimaging.
Zaharie
Gabriela
G
Disciplina de Neonatologie, Facultatea de Medicină, Universitatea de Medicină si Farmacie "I. Haţieganu", Cluj-Napoca.
Ion
Daniela Adriana
DA
Schmidt
Nadia
N
Popa
Monica
M
Zaharie
T
T
D001238:Asphyxia Neonatorum / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004569:Electroencephalography; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D009359:Neonatology; D009460:Neurologic Examination / Q000379:methods; D011859:Radiography; D012189:Retrospective Studies; D012383:Romania; D012680:Sensitivity and Specificity; D014463:Ultrasonography