Multiparametric Ultrasound Examinations in the Diagnosis of Intraventricular Cerebral Hemorrhages in Children

Abstract

Intraventricular cerebral hemorrhages in children in the structure of pediatric morbidity in Uzbekistan account for about 8-15% of newborns (Statistical materials on the activities of healthcare institutions of the Republic of Uzbekistan in 2017). For the further development of perinatal neurology, it is necessary to search for new objective methods for assessing the functional and structural state of the brain. Topical diagnostics is possible with the help of radiation research methods. The present work was based on the results of a neurosonographic examination of 90 sick children with VVC. All patients underwent brain ultrasound using standard and polypositional neurosonography (stNSG and pNSG) techniques. All children in the hospital population had an increased risk of developing VVC. The ratio of newborns and children aged 1-12 months of life was approximately the same (52.5 and 47.5%), boys significantly prevailed (71.2%). More than half of the children (61.8%) were born from natural childbirth in the head presentation. In 15 children with grade II VVC, the CNS depression syndrome is more pronounced. There may be a disorder of consciousness, sopor, and in more severe cases – coma, 4 children have anomalies of pupillary reactions, 7 children oculomotor disorders were often combined with bulbar disorders (violation of sucking, swallowing, pathology of breathing and cardiac activity.) Differences with the comparison group were significant only in relation to the frequency of convulsive syndrome in 5 children.