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Sonographic evaluation of the spinal canal in neonates
EP34234
Poster Title: Sonographic evaluation of the spinal canal in neonates
Submitted on 26 Oct 2020
Author(s): Juan Carlos González Matos
Affiliations: Hospital General de Segovia
This poster was presented at BIR Annual Congress 2020
Poster Views: 300
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Poster Information
Abstract: TEACHING OBJECTIVE :
Design a practical scheme of the spinal cord ultrasound exploration systematics in the neonate
Know what are the indications for neonatal spinal ultrasound.
To understand the normal radiological anatomy of the neonatal spinal canal and the findings associated with spinal dysraphism.
Know the technical foundations for performing an adequate neonatal spinal canal ultrasound.
TOPIC REVIEW
Ultrasonography spinal cord takes cab or in newborns with signs of bone marrow pathology (skin lesions on the back, deformity of the spine, neurological disorders, suspected lesion of the spinal cord due to traumatic birth and syndromes marrow compression).
Currently, it is recommended as an initial evaluation method in this group of patients, although MRI is considered to be the Gold standard for the evaluation of spinal dysraphism.
The evaluation is considered optimal until 3-4 months of age, since the subsequent ossification of the neural arch limits the study.
Indications
• Suspected spinal dysraphism.
• Spectrum of caudal regression syndrome
• Lumbar puncture guide.
• Detection of sequelae of traumatic birth.
• Assessment of the anchored cord
Advantage
Embryology
Anatomy
Ultrasound Anatomy
Technical fundamentals
Exploratory technique
CONCLUSIONS
Knowledge of embryonic development of the spine and spinal cord is essential to interpret the ultrasound findings, allowing better evaluation of morphology and congenital spinal abnormalities. "
Spinal cord ultrasound is a useful tool in selected newborns and young infants for the detection of congenital pathology such as anchored marrow or dysraphism and for initial evaluation of masses.
Summary: A bibliographic and session review of our service was carried out, as well as scientific publications related to our review.References: Us of Spinal Cord in Newborns: Spectrum of normal findings variants, congenital anomalies, and acquired diseases, Karim M. Unsinn, Theresa Geley, Martin C. Freund, and Ingmar Gassner. RadioGraphics 2000 20:4, 923-938.
Gerscovich EO, Macgahan MD. Ultrasound of the spinal canal in the Young child. Applied Radiology. 2001;21-26.
Marcadores cutáneos congénitos de patología del sistema nervioso central 1999, María Luisa Pérez-Cotapos A. Pablo Uribe G. Daniela Krämer H. Cristián García B. Revista Chilena de pediatría 367-375 Sociedad Chilena de Pediatría.
Unsim et al. Us of the spinal cord in newborns, findings, variants, congenital anormalies and acquired diseases. RadioGraphics. 2000;20:923-938. 6. Lowel Lh et al. Sonography of the neonatal.
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