Title

Serial Sonographic Findings of Lenticulostriate Vasculopathy

Translated Titles

豆狀核與紋狀體血管病變的一系列超音波發現

DOI

10.7097/APT.200504.0077

Authors

沈淵瑤(Ein-Yiao Shen);翁仕明(Shih-Ming Weng);郭雲鼎(Yung-Ting Kuo);邱南昌(Nan-Chang Chiu);何啓生(Che-Sheng Ho)

Key Words

Lenticulostriate vasculopathy ; neurosonography ; linear hyperechogenicity

PublicationName

Acta Paediatrica Taiwanica

Volume or Term/Year and Month of Publication

46卷2期(2005 / 04 / 01)

Page #

77 - 81

Content Language

英文

English Abstract

The vessels supplying basal ganglia and thalami are not usually detectable on the neurosonogram in the neonates. In recent studies, bright linear echogenesitis in these regions have been well decribed and were defined as lentriculostriate vasculopathy (LSV). These lesions suggested as a marker of a previous insult to the fetal or neonatal brain and the hemodynamics in the immature brain play an important role in its pathogenesis. In a period of 2 year and 5 months, we collected 39 cases of neonates and prematurities with LSV. These include 16 cases of premature babies, 16 cases of normal full-term neonates and 7 cases with perinatal insults. LSV was detected incidentally in most cases, distinctly different from the previous reports that LSV are linked with congenital anomaly, chromosomal anomaly, prematurity, perinatal insult or congenital infection, etc. There are early onset (≤7 days) LSV in 23 cases (59%) and late onset (>7 days) in 16 cases (41%).16 cases (41%) had total remission, 7 cases (18%) had partial remission, and 16 cases (41%) remained persistantly. Rare reports remined of the long term effect of LSV including tics, attension deficit hyperactive disorder and developmental delay. An isolated LSV generally has a good long term prognosis and a grave neurologic deficit may be mainly due to its associated brain damage.

Topic Category 醫藥衛生 > 婦產科與老幼科