Ecografía transfontanelar en la enfermedad hipóxico  isquémica del recién nacido. Presentación de un caso

Dayana Torres; José Sosa; Gonzalo Dueñas

doi:10.47464/MetroCiencia/vol28/3/2020/19-24

Authors

Dayana Torres Universidad San Francisco https://orcid.org/0000-0002-0836-1420
José Sosa Universidad San Francisco https://orcid.org/0000-0002-8021-2702
Gonzalo Dueñas Hospital Metropolitano https://orcid.org/0000-0003-2272-1397

DOI:

https://doi.org/10.47464/MetroCiencia/vol28/3/2020/19-24

Keywords:

Hypoxic-ischemic disease, transfontanelar ultrasound, germ matrix, periventricular leukomalacia

Abstract

Hypoxic-ischemic disease is one of the main causes of neurological morbidity and mortality in the newborn. The different vascular adaptations to hypoxia in both the preterm and term infants make their presentation on neuroimaging, especially on ultrasound (US), characterizable according to the affected territory and the time of the disease. Ultrasound has become a powerful tool for evaluating the newborn with suspected IBD, and the pattern of the lesions has important implications for treatment and long-term neurological prognosis. Next, we present the case of a male newborn, extremely premature, who required advanced cardiopulmonary resuscitation at birth and who also presented two episodes of cardiorespiratory arrest on the second and third day of life, in which the diagnosis was reached with patterns sonographic characteristics of ischemic injury and also the evolution of the findings over time.

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Author Biographies

Dayana Torres, Universidad San Francisco

Médicos Residentes del Posgrado de Imagenología, Quito, Ecuador
José Sosa, Universidad San Francisco

Médicos Residentes del Posgrado de Imagenología, Quito, Ecuador
Gonzalo Dueñas, Hospital Metropolitano

Neurorradiólogo, Quito, Ecuador

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