MRI在评估非缺氧缺血性新生儿脑病血管病因中的作用

A. El-Beheiry, Athar Attaalla, A. Ettaby, Mohsen Abd El-Mohsen, Marwa Abdelkarim
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摘要

背景新生儿脑病(NE)是一种以新生儿神经行为异常为特征的临床综合征。目的探讨MRI在NE血管病因诊断中的作用。患者和方法本研究对亚历山大大学儿童医院新生儿ICU收治的50例临床表现为脑病的足月新生儿进行了研究。MRI检查在1.5 t通用电气(GE)机器上进行。结果本研究将非缺氧缺血性脑病NE的病因分为6组,每组表现出特定的MRI特征。计算P值,结果显示MRI成功达到最终诊断,P值为0.045,置信区间为95%,RRF=1.385。结论血管损伤患者的最终诊断率是非血管损伤患者的1.39倍。
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The role of MRI in evaluating vascular causes of nonhypoxic–ischemic neonatal encephalopathy
Background Neonatal encephalopathy (NE) is a clinical syndrome characterized by abnormal neurobehavioral status of the newborn. Aim This study was conducted to evaluate the role of MRI in identifying vascular causes of NE. Patients and methods The study was conducted on 50 full-term neonates admitted to the neonatal ICU at Alexandria University Children’s Hospital with clinical picture suggestive of encephalopathy. MRI examinations were performed on a 1.5-T General Electric (GE) machine. Results In the current study, the causes of non-hypoxic–ischemic encephalopathy NE were categorized into six groups, each group displayed specific MRI features. P value was calculated, and the results revealed that MRI was successful in reaching the final diagnosis with P value of 0.045, confidence interval 95%, and RRF=1.385. Conclusion Those with vascular insults had 1.39 times the rate of reaching a final diagnosis compared with those with nonvascular insults.
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