Pediatri pratiğinde transfontanel ultrasonografi

Hilal Aydın; Selçuk Yazıcı; Emrah Akay; Hatice Balcı; Işınsu Bıçakçıoğlu

doi:10.19161/etd.1209100

EN TR

Transfontanelle ultrasonography in pediatric practice

Abstract

Aim: In this study, it was aimed to reveal the diagnostic profile of the patients who underwent transfontanelle ultrasonography (TFUSG) for various indications in pediatric practice. Material and Methods: In this study, the records of 0 to 2 years aged patients, who underwent transfontanelle ultrasonography for various indications at general pediatrics or pediatric neurology outpatient clinics of Balikesir University, Faculty of Medicine between 01.08.2019-18.10.2021, were retrospectively analyzed. TFUSG findings were divided into two subgroups as normal/variations of normal and abnormal. Results: A total of 183 cases, 77 (42.1%) female and 106 (57.9%) male, were included in the study. The mean age of the cases was 119.55±134.52 days (1-700 days). The most common reasons for requesting TFUSG were; various etiologies (n=79, 43.2%), seizures (n=37, 20.2%), and a history of hospitalization in the neonatal intensive care unit (n=23, 12.6%). TFUSG was abnormal in 30 (16.4%) cases. The most common abnormal TFUSG findings were; enlarged cerebrospinal fluid (CSF) distances (n=8, 4.4%), hydrocephalus (n=7, 3.8%), and enlarged subarachnoid space (n=5, 2.7%). Among groups with normal or abnormal TFUSG results, statistically significant differences were found in terms of gender, birth weight according to gestational age and head circumference (p=0.007, p=0.048, p=0.00, respectively). Conclusion: The significant difference in TFUSG findings of patients aged 0 to 2 years, in terms of gender, birth weight and head circumference according to gestational age is the feature that makes our study stand out and this finding that needs to be studied more comprehensively.

Keywords

Pediatri pratiğinde transfontanel ultrasonografi

Öz

Amaç: Bu çalışmada, pediatri pratiğinde çeşitli endikasyonlar nedeni ile transfontanel ultrasonografi (TFUSG) istenilen hastaların tanısal profilinin ortaya çıkarılması hedeflenmiştir. Gereç ve Yöntem: Bu çalışmada, 01.08.2019-18.10.2021 tarihleri arasında, Balıkesir Üniversitesi Tıp Fakültesi çocuk sağlığı ve hastalıkları ile çocuk nöroloji polikliniklerinde çeşitli endikasyonlar ile transfontanel ultrasonografi istenilen 0-2 yaş arasındaki hastaların dosyaları retrospektif olarak incelendi. TFUSG bulguları normal/normalin varyasyonları ve anormal olarak ikiye ayrıldı. Bulgular: 77’si (%42,1) kız ve 106’sı (%57,9) erkek olmak üzere toplam 183 olgu çalışmaya dahil edildi. Olguların yaş ortalaması 119,55±134,52 gün (1-700 gün) idi. En sık TFUSG istem nedenleri; çeşitli etiyolojiler (n=79, %43,2), nöbet (n=37, %20,2), ve yenidoğan yoğun bakım ünitesine yatış öyküsü (n=23, %12,6) idi. 30 (%16,4) olguda TFUSG anormal olarak raporlandı. En sık anormal TFUSG bulguları; beyin omurilik sıvısı (BOS) mesafelerinde genişleme (n=8,%4,4), hidrosefali (n=7, %3,8), subaraknoid mesafede genişleme (n=5, %2,7) idi. TFUSG normal veya anormal olanlar arasında cinsiyet, gestasyon yaşına göre doğum ağırlığı ve baş çevresi açısından istatiksel olarak anlamlı farklılık saptandı (p=0,007, p=0,048, p=0,00). Sonuç: 0-2 yaş arası hastalarda TFUSG bulgularında cinsiyet, gestasyon yaşına göre doğum ağırlığı ve baş çevresi açısından anlamlı farklılık saptanması çalışmamızı öne çıkaran özelliktir ve üzerinde daha kapsamlı çalışılması gereken bir bulgudur.

Anahtar Kelimeler

References

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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Hilal Aydın ^*
Türkiye

Selçuk Yazıcı
Türkiye

Emrah Akay
Türkiye

Hatice Balcı
Türkiye

Işınsu Bıçakçıoğlu
Türkiye

Publication Date

December 12, 2022

Submission Date

February 7, 2022

Acceptance Date

June 13, 2022

Published in Issue

Year 2022 Volume: 61 Number: 4

DOI

https://doi.org/10.19161/etd.1209100

IZ

https://izlik.org/JA85SD95GX

Cite

RIS / Bibtex

Vancouver

1.Hilal Aydın, Selçuk Yazıcı, Emrah Akay, Hatice Balcı, Işınsu Bıçakçıoğlu. Pediatri pratiğinde transfontanel ultrasonografi. EJM. 2022 Dec. 1;61(4):651-7. doi:10.19161/etd.1209100