title: [The significance of neuroimaging in the evaluation of the newborn with neonatal asphyxia].
abstract: 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.
authors.affiliation: Disciplina de Neonatologie, Facultatea de Medicină, Universitatea de Medicină si Farmacie "I. Haţieganu", Cluj-Napoca.
authors.forename: Gabriela
authors.initials: G
authors.lastname: Zaharie
authors.forename: Daniela Adriana
authors.initials: DA
authors.lastname: Ion
authors.forename: Nadia
authors.initials: N
authors.lastname: Schmidt
authors.forename: Monica
authors.initials: M
authors.lastname: Popa
authors.forename: T
authors.initials: T
authors.lastname: Zaharie
mesh_terms: 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