Prevalence, and Pattern of Hypoxic Ischemic Encephalopathy on Magnetic Resonance Imaging among Pediatric patients

نویسندگان

چکیده

Background: Hypoxic Ischemic Encephalopathy is a frequently encountered occurrence in pediatric setting and more prevalent the low middle income countries. Magnetic resonance imaging (MRI) considered reliable source of investigation. Our study determined findings cause ischemic encephalopathy children referred for MR Imaging to our radiology department. Study design: A prospective cross-sectional study. Place duration study: was conducted at tertiarycare hospital, Karachi Pakistan from 1st November 2021 30th October 2022. Methods: included newborns 16 years age who either had history fits, abnormal APGAR score, delayed cry or milestones. The brain MRI performed on 1.5 tesla scanner with standard protocol interpreted by Experienced Radiologists Findings were recorded anExcel Sheet data analyzed SPSS version 26. risk hypoxic insult born mothers hypertension, diabetes milletus, maternal substance abuse fits and/or Children via instrumental delivery excluded Result: total number 187 patients 98 males 89 females. most common group involved >1 year 5 (50.3%). presenting complaints milestones (63.6%) (59.9%), (52.4). On examination 42.2% microcephaly. One-third positive mellitus, hypertension anemia. score checked 1 minute which showed 3-6 seen 81.8% patients. 54.5% periventricular leukomalacia, 35.3% deep gray matter involvement, 3.7% germinal matrix hemorrhage, only 1.6% watershed infarcts. statically significant association between gestation birth leukomalacia (P=<0.5). Conclusion: society recommended modality due its sensitivity superior soft-tissue resolution. In developing countries lack proper facilities awareness, there an increased incidence HIE leads morbidity therefore increasing awareness early diagnosis utmost importance. Keywords: encephalopathy, Resonance Imaging, Pediatric population

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ژورنال

عنوان ژورنال: Pakistan Journal of Medical and Health Sciences

سال: 2023

ISSN: ['1996-7195']

DOI: https://doi.org/10.53350/pjmhs202317310