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[en] Highlights: • Cranial US shows high accuracy in the diagnosis of craniosynostosis. • US may be the first-choice imaging in infants with skull deformity. • US is efficient in diagnose a partial or complete suture closure. • 3D-CT may be secondary performed at the appropriate time before surgery. - Abstract: Objectives: The aim of this study was to report our experience with ultrasonography in our routine practice for the diagnosis of cranial deformity in infants. Methods: We conducted a single-institution retrospective study of infants referred to our department because of skull deformity. We only included in this study infants having undergone both US and 3D-CT to ensure accurate comparisons. Each cranial suture was described as normal or closed (partial or complete closure). Sonography examination results were correlated with 3D-CT findings as a gold-standard. Results: Forty infants were included with a mean age of 5.2 ± 4.9 months. Thirty had a craniosynostosis and 10 children had a postural deformity with normal sutures. Correlation between US and 3D-CT for the diagnosis of normal or closed suture had a specificity and a sensitivity of 100%. US examination for the diagnosis of complete or incomplete synostosis had a sensitivity of 100%. Conclusions: Cranial US is an effective technique to make a positive or negative diagnosis of prematurely closed suture. US examination of sutures is a fast and non-radiating technique, which may serve as a first-choice imaging modality in infants with skull deformity.
[en] We report two infants presenting with unilateral congenital facial palsy since birth. Magnetic resonance imaging (MRI) in both the cases revealed complete unilateral aplasia of facial nerve. To our knowledge, this is the first reported MR depiction of nonsyndromic isolated facial nerve aplasia. Imaging features and the pertinent anatomy is discussed along with a brief review of literature.
[en] Observations are demonstrated of computerized tomography pictures of a cephalothoracopagus (gemini conjugati). The individual parts of the teratoid were connected frontally by the head and thorax. The teratoid had two faces while each of the faces consisted of two halves of the individual parts of the gemini. (author). 3 figs., 1 ref
[en] We present a case of acute osteomyelitis in a 5-year-old boy, focusing on the value of ultrasonography (US) as a diagnostic method in the early stages of the disease, when the clinical evidence is nuclear and other diagnostic tests may reveal nonspecific findings or none at all. (Author) 7 refs
[en] Convulsive status epilepticus (CSE)-defined as either a single convulsive seizure or a series of seizures without recovery of consciousness lasting for over 30 min - is a common disorder with an annual incidence of 18-20 cases per 100,000 people. CSE is primarily a disorder of infancy, observed in patients up to 4 years of age. (authors)
[en] 44 infants under 1 year were studied retrospectively during these illness and follow up after 1 week intervals. The spectrum of sonographic features of bacterial meningitis in acute stage included normal scan (20 patients), echogenic sulci (10 patients), echogenic lining of epandymas (8 patients), Abnormal parenchymal echogenecity (6 patients). On follow up examination with 1 week intervals, variety of complications was found in 14 patients (32%) of the infants. There were ventriculomegaly in 7 patients, extraaxial fluid collection in 4 patients, brain abscess in 2 patients and poor encephalic cyst in 1 patient. We conclude that ultrasound was an effective method for evaluation of progression and complications of bacterial meningitis
[en] Imaging modalities rarely demonstrate air in the pancreas. We describe a case of pancreatic air in an infant with congenital duodenal web by duodenum-pancreatic duct reflux. Ultrasonography revealed air as a strong echogenic line in the main pancreatic duct. Innumerable echogenic foci were diffusely scattered in the pancreas.