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What is the value of high resolution ultrasound scans?

The following is a summary of the systematic review findings up to the date of our most recent literature search. If you have a specific clinical case, we strongly recommend you read all of the relevant references as cited and look for additional material published outside our search dates.

 

Results 1-3

  • Study design:
    • all case series
  • Age: ranging from 0-12 months
  • Total data: 21 children

 

Analysis of included studies

  • Ultrasound scans (USS) found (also visible on computerised tomography scan (CT) or magnetic resonance imaging (MRI)): 1
    • subdural haemorrhages (SDHs) and staging (aging the lesion) was possible in 15/20 SDHs identified
    • echogenic cortical oedema in 5 patients
  • USS missed (visible on CT or MRI): 1
    • two posterior cranial fossa SDHs
    • three basal cistern subarachnoid haemorrhages (SAHs)
  • USS found: 2
    • SDHs and contusional tears
  • USS missed: 2
    • skull fractures
    • characterisation and ageing of SDHs
  • USS found: 3
    • cerebral oedema
  • USS missed: 3
    • SAH

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References

  1. Chen CY, Huang CC, Zimmerman RA, Yuh YS, Chen SJ, Chin SC, Lee CC, Lee KW. High-resolution cranial ultrasound in the shaken-baby syndrome. Neuroradiology. 2001;43(8):653-661 [Pubmed]
  2. Jaspan T, Narborough G, Punt JA, Lowe J. Cerebral contusional tears as a marker of child abuse--detection by cranial sonography. Pediatric Radiology. 1992;22(4):237-245 [Pubmed]
  3. Zepp F, Brühl K, Zimmer B, Schumacher R. Battered child syndrome: cerebral ultrasound and CT findings after vigorous shaking. Neuropediatrics. 1992;23(4):188-191 [Pubmed]

 

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