Sonographic ventriculography: a new potential use for sonographic contrast agents in neonatal hydrocephalus.

نویسندگان

  • G A Taylor
  • J S Soul
  • P S Dunning
چکیده

BACKGROUND AND PURPOSE Sonographic identification of communicating and noncommunicating forms of posthemorrhagic hydrocephalus can be difficult. This study evaluates the feasibility of using sonographic contrast agents to determine ventricular patency in a newborn animal model. METHODS A craniotomy was performed and a catheter was placed under sonographic guidance into the lateral ventricle in five anesthetized newborn piglets. Sonograms were obtained before and after intraventricular injection of 0.01 mL of a sonographic contrast agent (Imagent, formulation AF0150; Alliance Pharmaceutical Corp, San Diego, CA) diluted in 1 mL normal saline, and images were assessed for presence and location of echogenic contrast material. RESULTS Flow of contrast material was identifiable from the ipsilateral lateral ventricle into the contralateral lateral ventricle, and through the third and fourth ventricles into the basal cisterns during real-time sonography in every animal. Ventricular and cistern echogenicity remained increased for approximately 4 minutes after injection. CONCLUSION Contrast-enhanced sonographic ventriculography has the potential to identify patency of CSF pathways in newborns with hydrocephalus and an indwelling ventricular catheter.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Complications of Citrobacter neonatal meningitis: assessment by real-time cranial sonography correlated with CT.

Real-time cranial sonography via the anterior fontanelle was used serially over a 3- and 6-week period, respectively, to evaluate two infants who developed multicystic encephalomalacia secondary to Citrobacter neonatal meningitis. Sonographic findings included heterogeneous parenchymal echogenicity, gyral prominence, periventricular hypoechoic areas from which cystic spaces evolved, and develop...

متن کامل

Erroneous sonographic identification of fetal lateral ventricles: relationship to the echogenic periventricular "blush".

We show, through correlation of fetal, neonatal, and necropsy brain sonography, that the three-parallel-echogenic-line configuration classically thought to represent fetal lateral ventricular margins on high axial images are actually extraventricular, lying within cerebral white matter. Accurate sonographic identification of fetal hydrocephalus is essential for appropriate patient management. B...

متن کامل

Atrial ventricular diverticulum: sonographic diagnosis.

Diverticulum of the lateral ventricle is an uncommon occurrence in patients with hydrocephalus [1-5]. Confusing this entity with similar-appearing abnormalities such as arachnoid cysts , cystic neoplasms, or the trapped fourth ventricle must be avoided to ensure proper mangement [6-8]. Although the pathologic and CT features have been described [1] , the sonographic appearance is not widely kno...

متن کامل

3 Prostate Ragab

The value of prostatic sonography has dramatically increased in the past three decades. Transrectal ultrasound (TRUS) imaging is currently an integral part of prostate cancer diagnosis and treatment procedures, providing high-resolution anatomical detail of the prostate region. In this chapter we review the anatomy and sonographic methods in imaging of the prostate and prostatic diseases. Also ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • AJNR. American journal of neuroradiology

دوره 19 10  شماره 

صفحات  -

تاریخ انتشار 1998