بررسي يافته هاي راديولوژيك در نوزادان مبتلا به تشنج بر اساس CT اسكن مغزي ...

Radiolmaging in Convulsion Neonates Based on Brain CT Scan Without Contrast

The most common neurologic sign in neonatal period is Convulsion , based on the condition of each neonate with seizure the radiologic survey will carry out. In this study the role of brain- CT scan without contrast was evaluated for neonates with seizures. This was a cross-section descriptive study on 80 neonates with seizure admitted in NICU of Ekbatan hospital Hamadan during 2002-2003. The brain Ct-scan without contrast was done for all of them , the radiologic reports were recorded on special forms , and evaluated with statistically methods. 65% of neonates had abnormal CT : Intracranial hemorrhage in 19 cases (23.7%) , Local ischemic lesions in 18 cases (22.5%) , Hypoxic- ischemic encephalopathy in 15 cases (18.7%) , Brain dysgenesis in 8 cases (10%) and combined forms in 18 cases (22.5%). In this study abnormal CT scan findings were noticeable , most of the seizure occurred at 24-72 hrs after birth and association with difficult labor was statistically meaningful (P<0.05). Because the difficult delivery and hypoxia are participating factors of neonatal seizures , perhaps the proper or inappropriate delivery and perinatal intervention is a factor for interpretation of findings of this study.