Email this article Reducing radiation exposure in newborns with birth head trauma
- Authors: Kriukova I.A.1, Kriukov E.Y.1,2, Kozyrev D.A.2, Sotniкov S.A.1,2, Iova D.A.1, Usenko I.N.1,3, Iova А.S.1,2,4
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Affiliations:
- North-Western State Medical University n.a. I.I. Mechnikov
- Children City Hospital No 1
- Saint Petersburg State Pediatric Medical University
- Almazov National Medical Research Centre
- Issue: Vol 5, No 4 (2017)
- Pages: 24-30
- Section: Articles
- URL: https://bakhtiniada.ru/turner/article/view/7670
- DOI: https://doi.org/10.17816/PTORS5424-30
- ID: 7670
Cite item
Abstract
Background. Birth head trauma causing intracranial injury is one of the most common causes of neonatal mortality and morbidity. In case of suspected cranial fractures and intracranial hematomas, diagnostic methods involving radiation, such as x-ray radiography and computed tomography, are recommended. Recently, an increasing number of studies have highlighted the risk of cancer complications associated with computed tomography in infants. Therefore, diagnostic methods that reduce radiation exposure in neonates are important. One such method is ultrasonography (US).
Aim. We evaluated US as a non-ionizing radiation method for diagnosis of cranial bone fractures and epidural hematomas in newborns with cephalohematomas or other birth head traumas.
Material and methods. The study group included 449 newborns with the most common variant of birth head trauma: cephalohematomas. All newborns underwent transcranial-transfontanelle US for detection of intracranial changes and cranial US for visualization of bone structure in the cephalohematoma region. Children with ultrasonic signs of cranial fractures and epidural hematomas were further examined at a children’s hospital by x-ray radiography and/or computed tomography.
Results and discussion. We found that cranial US for diagnosis of cranial fractures and transcranial-transfontanelle US for diagnosis of epidural hematomas in newborns were highly effective. In newborns with parietal cephalohematomas (444 children), 17 (3.8%) had US signs of linear fracture of the parietal bone, and 5 (1.1%) had signs of ipsilateral epidural hematoma. Epidural hematomas were visualized only when US was performed through the temporal bone and not by using the transfontanelle approach. Sixteen cases of linear fractures and all epidural hematomas were confirmed by computed tomography.
Conclusion. The use of US diagnostic methods reduced radiation exposure in newborns with birth head trauma. US methods (transcranial-transfontanelle and cranial) can be used in screening for diagnosis and personalized monitoring of changes in birth head trauma as well as to reduce radiation exposure.
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##article.viewOnOriginalSite##About the authors
Irina A. Kriukova
North-Western State Medical University n.a. I.I. Mechnikov
Author for correspondence.
Email: i_krukova@mail.ru
MD, PhD, neurologist, sonologist, assistant
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015Evgeniy Y. Kriukov
North-Western State Medical University n.a. I.I. Mechnikov; Children City Hospital No 1
Email: e.krukov@mail.ru
MD, PhD, neurosurgeon, sonologist, head of the Department of Pediatric Neurology and Neurosurgery of North-Western State Medical University n.a. I.I. Mechnikov. Children City Hospital No 1
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015; Saint-PetersburgDanil A. Kozyrev
Children City Hospital No 1
Email: nil_dk@mail.ru
MD, neurosurgeon, sonologist
Russian Federation, Saint PetersburgSemen A. Sotniкov
North-Western State Medical University n.a. I.I. Mechnikov; Children City Hospital No 1
Email: sot-sem@yandex.ru
MD, neurosurgeon, sonologist, junior researcher at the research laboratory “Innovative technologies of medical navigation” at North-Western State Medical University n.a. I.I. Mechnikov
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015; Saint-PetersburgDmitriy A. Iova
North-Western State Medical University n.a. I.I. Mechnikov
Email: iova@rnova.ru
MD, neurosurgeon, sonologist, junior researcher at the research laboratory “Innovative technologies of medical navigation” at North-Western State Medical University n.a. I.I. Mechnikov
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015Ivan N. Usenko
North-Western State Medical University n.a. I.I. Mechnikov; Saint Petersburg State Pediatric Medical University
Email: ivan_usenko91@mail.ru
MD, neurosurgeon, Saint Petersburg State Pediatric Medical University
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015; 2, Litovskay street, Saint-Peterburg, 194100Аlexandеr S. Iova
North-Western State Medical University n.a. I.I. Mechnikov; Children City Hospital No 1; Almazov National Medical Research Centre
Email: a_iova@mail.ru
MD, PhD, professor, neurosurgeon, sonologist, professor of the department of pediatric neurology and neurosurgery; head of laboratory “Innovative technologies of medical navigation” at St. Petersburg North-Western State Medical University n.a. I.I. Mechnikov, head of laboratory “Innovative technologies of medical navigation” at St. Petersburg North-Western State Medical University n.a. I.I. Mechnikov, head of research laboratory “Perinatal Neurosurgery” at Almazov National Medical Research Centre
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015; Saint-Petersburg; 2 Akkuratova str., Saint- Petersburg, 197341References
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