CT brain in neonatal asphyxia

Neonatal birth asphyxia is a clinical problem associated with a high mortality or neurodevelopmental disability. To study the immediate CT brain changes in neonates with birth asphyxia and to correlate findings with prognostic outcome. The study included 32 neonates with proven birth asphyxia; all had low Apgar score below 4, and umbilical cord pH less than 7. Cranial US and brain CT were performed to all cases. Our imaging findings were correlated with prognostic outcome during a short follow-up period of 12-18 months. Abnormal CT brain changes at presentation were seen in 22 cases, included brain oedema in 12 cases, encephalomalacia in 8 cases, IVH in 3 cases and parenchymal hemorrhage in 4 cases, Normal CT was noted in 10 cases. Out of the 22 cases who had abnormal brain CT at presentation 6 have expired, and the remaining 16 showed neurodevelopmental disability at follow up. Out of the 10 cases who had normal brain CT at presentation 4 showed neurological abnormalities

Utrasonic evaluation of neonatal hip dysplasia

Ultrasound imaging of the neonatal hip [less than five months] is crucial for the early diagnosis and management of the developmental dysplasia of the hip [DDH] and for avoiding hip morbidity. The objective of this study was to evaluate and compare the different sonographic techniques adopted for the assessment of DDH and to verify the value of routine neonatal hip sonography. For the early detection of DDH, the study included 1200 hips [600 neonates], being examined by the routine standard and stress dynamic ultrasound hip techniques. The results of this study showed the importance of performing combined standard and dynamic hip sonography for all cases