Preview

Radiology - Practice

Advanced search

Ultrasound in the Diagnosis of Perinatal Ischemic Strokes (Literature Review with Their Own Clinical Observations)

https://doi.org/10.52560/2713-0118-2021-5-100-114

Abstract

The issues of early diagnosis of perinatal arterial stroke (PAII) continue to be discussed in the domestic and foreign literature. Along with MRI, the ultrasound method allows to identify foci of ischemia of different localization and sizes in newborns. During ultrasound, we identified 29 cases of PAIA of different localization in children of different gestational and postnatal age. Analysis of our own and published data showed that up to 32 weeks of gestational development, AII develops in the lenticular-striar basin, and later in the cortical-subcortical region. Diagnostic capabilities of ultrasound in PAII can be significantly expanded by using ultrasound duplex scanning of brain vessels. Our observations showed that the nature of changes in Doppler parameters depends on the localization of the affected vascular basin and on the duration of cerebrovascular disorders

About the Authors

Yu. K. Bykova
National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov, Ministry of Healthcare of Russia; Russian Medical Academy of Continuing Professional Education, Ministry of Healthcare of Russia
Russian Federation

Bykova Yulia Konstantinovna, Ph. D. Med., doctor and researcher of the Department of Ultrasound Diagnostics in Neonatology and Pediatrics

4, ul. Akademika Oparina, Moscow, 117997, Russia

Phone: +7 (495) 438-26-00



L. V. Ushakova
National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov, Ministry of Healthcare of Russia
Russian Federation

Ushakova Lubov Vitalyevna, Ph. D. Med., researcher of the Department of Surgery, resuscitation and Intensive care of newborns

4, ul. Akademika Oparina, Moscow, 117997, Russia

Phone: +7 (495) 438-26-00



E. A. Filippova
National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov, Ministry of Healthcare of Russia; Russian Medical Academy of Continuing Professional Education, Ministry of Healthcare of Russia
Russian Federation

Filippova Elena Alexandrovna, Ph. D. Med., Head of the Department of Ultrasound Diagnostics in Neonatology and Pediatrics

4, ul. Akademika Oparina, Moscow, 117997, Russia

Phone: +7 (495) 438-26-00



A. B. Sugak
National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov, Ministry of Healthcare of Russia
Russian Federation

Sugak Anna Borisovna, M. D. Med., Senior Researcher of the Department of
Ultrasound Diagnostics in Neonatology and Pediatrics

4, ul. Akademika Oparina, Moscow, 117997, Russia

Phone: +7 (495) 438-26-00



K. V. Vatolin
Russian Medical Academy of Continuing Professional Education, Ministry of Healthcare of Russia
Russian Federation

Vatolin Konstantin Vladimirovich, M.D. Med., Professor, Children’s Radiology Division

2/1, ul. Barrikadnaya, Moscow, 123995, Russia

Phone number: +7 (499) 255-51-06



V. G. Bychenko
National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov, Ministry of Healthcare of Russia
Russian Federation

Bychenko Vladimir Gennadyevich, Ph. D. Med., Head of the Department of Radiation Diagnostics

4, ul. Akademika Oparina, Moscow, 117997, Russia

Phone: +7 (495) 438-26-00



V. V. Zubkov
National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov, Ministry of Healthcare of Russia; Russian Medical Academy of Continuing Professional Education, Ministry of Healthcare of Russia
Russian Federation

Zubkov Viktor Vasilyevich, M. D. Med., Professor, Director of the Institute of neonatology and Pediatrics

4, ul. Akademika Oparina, Moscow, 117997, Russia

Phone: +7 (495) 438-26-00



A. Suvorov
National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V. I. Kulakov, Ministry of Healthcare of Russia
Russian Federation

Suvorov Ivan Alexeevich, neurologist of the Scientific Advisory Pediatric Department, researcher of the Department of Pediatrics of the Institute of Neonatology

4, ul. Akademika Oparina, Moscow, 117997, Russia

Phone number: +7 (495) 438-26-00



References

1. Bykova Yu. K., Ushakova L. V., Filippova E. A., Vatolin K. V., Sugak A. B., Amirkhanova D. Y., Bychenko V. G., Zubkov V. V. Neonatologija: novosti, mnenija, obuchenie. 2020, No. 1. Р. 72-82 (in Russian).

2. Ushakova L. V., Bykova Yu. K., Bychenko V. G., Filippova E. A., Strutinskaya A. D. Neonatologija: novosti, mnenija, obuchenie. 2017. No. 4. P. 104–112 (in Russian).

3. Auvin S., Baud O., Biran V. Neonatal arterial ischemic stroke: Review of the current guidelines. Arch Pediatr. 2017. V. 24. No. 2. Р. 180–188.

4. Benders M. J. N. L., Groenendaal F., Uiterwaal C. S. P. M., Nikkels P. G. J., Bruinse H. W., Nievelstein R. A. J., De Vries L. S. Maternal and Infant Characteristics Associated With Perinatal Arterial Stroke in the Preterm Infant. Stroke. 2007. V. 38. P. 1759–1765.

5. Deeg K. H. Sonographic and Doppler Sonographic Diagnosis of Neonatal Ischemic Stroke. Ultraschall Med. 2017. V. 38. No. 4. P. 360–376.

6. Dunbar М., Kirton А. Perinatal stroke: mechanisms, management, and outcomes of early cerebrovascular brain injury. Published online. 2018. V. 27. http://dx.doi.org/10.1016/S2352-4642(18)30173-1

7. Ecury-Goossen G. M., Raets M. M. A., Lequin M., Feijen-Roon M.; Govaert P., Dudink J. Risk Factors, Clinical Presentation, and Neuroimaging Findings of Neonatal Perforator Stroke. Downloaded from http://stroke.ahajournals.org/ by guest. 2015. V. 19.

8. Golomb M. R., Garg B. P., Edwards-Brown М., Williams L. S. Very Early Arterial Ischemic Stroke in Premature Infants. Pediatr Neurol. 2008. V. 38. No. 5. P. 329–334.

9. Govaert P., Linda S. De Vries. Mac Keith. An Atlas of Neonatal Brain Sonography. 2nd Edition. Press. 2010. P. 419.

10. Husson B., Durand C., Hertz-Pannier L. Recommendations for imaging neonatal ischemic stroke. Arch Pediatr. 2017. V. 24. No. 9. Р. 19–27.

11. Ilves P., Laugesaar R., Loorits D., Kolk A. Perinatal stroke: risk factors, clinical and radiological findings presumed. J. Child Neurol. 2016. V. 31. No. 5. P. 621–629.

12. Kirton A., Armstrong-Wells J., Chang T., Deveber G. International Pediatric Stroke Study Investigators. Symptomatic Neonatal Arterial Ischemic Stroke: The International Pediatric Stroke Study. Pediatrics. 2011. V. 128. P. 1402–1410.

13. Lee S., Mirsky D. M., Beslow L. A. Pathways for neuroimaging of neonatal stroke. Pediatr. Neurol. 2017. V. 69. P. 37–48.

14. Miriam Martinez-Biarge, Donna M. Ferriero, Frances M. Cowan. Perinatal arterial ischemic stroke. Handbook of Clinical Neurology. 2019. V. 162. P. 239–266.

15. Olivı G., Agut T., Echeverrıa-Palacio C. M., Arca G., Garcıa-Alix A. Usefulness of Cranial Ultrasound for Detecting Neonatal Middle Cerebral Artery Stroke. Ultrasound Med Biol. 2019. V. 45. No. 3. P. 885–890.

16. Raju T. N., Nelson K. B., Ferriero D., Lynch J. K. Ischemic perinatal stroke: summary of a workshop sponsored by the National Institute of Child Health and Human Development and the National Institute of Neurological Disorders and Stroke. Pediatrics. 2007. V. 120. P. 609–616.


Supplementary files

Review

For citations:


Bykova Yu.K., Ushakova L.V., Filippova E.A., Sugak A.B., Vatolin K.V., Bychenko V.G., Zubkov V.V., Suvorov A. Ultrasound in the Diagnosis of Perinatal Ischemic Strokes (Literature Review with Their Own Clinical Observations). Radiology - Practice. 2021;(5):100-114. (In Russ.) https://doi.org/10.52560/2713-0118-2021-5-100-114

Views: 521


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2713-0118 (Online)