Abstract:
Patterns of neonatal hypoxic-ischaemic brain injury (HIBI) are fairly well known. There are, however, other diagnoses with imaging patterns that may mimic HIBI. A review of MRI studies was conducted for children with suspected cerebral palsy, correlated with prior imaging, clinical details and laboratory tests where available. In the 63 identified cases, imaging features were, in many cases, very similar to the known patterns of HIBI. The alternative diagnoses can be classified as developmental, vascular, chromosomal, infections, metabolic disorders, and congenital syndromes. These findings are described in this pictorial essay. The potential mimickers of HIBI described in this essay can demonstrate similar imaging appearances to HIBI.
UNASSIGNED: There are multiple possible causes of neonatal encephalopathy other than hypoxic-ischaemic encephalopathy. Many conditions may mimic HIBI, each of which can be associated with significant morbidity. It is prudent for the reporting radiologist to be aware of these alternate clinico-radiological diagnoses.
摘要:
新生儿缺氧缺血性脑损伤(HIBI)的模式是众所周知的。有,然而,其他影像模式可能模拟HIBI的诊断。对疑似脑瘫儿童的MRI研究进行了回顾,与先前的成像相关,临床细节和实验室检查。在确认的63个病例中,成像特征是,在许多情况下,与已知的HIBI模式非常相似。替代诊断可以归类为发育,血管,染色体,感染,代谢紊乱,和先天性综合症。这些发现在这篇图片文章中有所描述。本文描述的HIBI的潜在模拟者可以证明与HIBI相似的成像外观。
■除缺氧缺血性脑病外,新生儿脑病有多种可能的原因。许多条件可能模仿HIBI,每一种都可能与显著的发病率相关。报告放射科医生应注意这些替代的临床放射学诊断。