NSH of the brain of newborns: interpretation, norms

Once a child is born, all of its systems and organs adapt to new conditions of life, include functions of the body that were not previously involved, and brain processes are activated. If any violations of these processes are suspected, additional testing and, if necessary, treatment, are necessary. The most effective method for detecting the pathology of the brain and the nervous system as a whole is neurosonography (NSH) of the brain of a newborn. This method allows you to identify the diseases of the nervous system in children from the very first days of life.

What is NSG?

NSG - this, in fact, ultrasound. NSH in newborns is an effective, informational hardware study. Newborn children this method is available because of the peculiarities of the structure of the bones of the skull. The fact is that they have not yet been formed definitively, and this physiological feature makes it possible to do NSH of the brain of newborns through uncomfortable fontanels.

The principle of conducting such a study is practically the same as for ultrasound. Through the fontanel (front large and posterior), ultrasonic waves can penetrate the child's brain. The range of the examination is greater the less the fontanelles are tightened. CNG of the brain of newborns can be done from birth to one year. Ultrasound waves used during the study are absolutely harmless for babies. The earlier the pathology is revealed and the treatment is started, the more favorable the prognosis for the baby.

Indications for the NSH procedure

This procedure is prescribed for suspected abnormalities related to brain function and development of the nervous system or obtained after a head injury, for example, when passing through the birth canal. CNG of the brain of newborns is one of the most effective methods for detecting various deviations associated with the nervous system. Indications for the study include:

• Prematurity.
• Deficiency of body weight.
• Evaluation of the newborn on the Apgar scale 7/7 or lower.
• A large child with a lot of weight.
• Intrauterine infections.
• Hypoxia.
• Rhesus-conflict.
• Anomalies of development.
• Injuries received by a child during childbirth.
• Swollen fontanelles (indicate high intracranial pressure).
• Injuries to the head are domestic.
• Suspicion of neurologic abnormalities, such as cerebral palsy.
• Clinic of neurological disorders.
• Deformations of the skull (non-standard form).
• Tumors and inflammatory processes.
• The presence of a burdensome anamnesis.

Sometimes, in the absence of external signs, hidden pathologies are revealed after ultrasound. NSH in newborns makes it possible to detect even the smallest deviations.

Do I need training?

This examination is absolutely harmless for the child. No training is required for the brain's neonatal brain. The procedure is painless, it will not bring discomfort to the baby. A mother may be present and ask the doctor questions of interest to her.

If earlier, if there was a suspicion of the pathology of the nervous system and the abnormalities in the brain activity of the newborns, they had to do general anesthesia in order to immobilize the child and perform a brain imaging, then this is not required for the NSG. The child can stay awake and actively move - this does not interfere with the procedure.

What makes it possible to identify the brain's neonatal brain?

The cyst is a pathology that is a vascular plexus that resembles a bubble inside which fluid is contained. Cysts of the brain in newborns can form during the passage of the birth canal. In this case, they usually resolve themselves and do not require any treatment. If the cause of their formation is different, then this requires additional examination and appropriate treatment.

Increased intracranial pressure in newborns can be detected with the help of NSH. This study can detect various abnormalities of the brain, caused by circulatory disorders or birth trauma.

Hypertensive syndrome - a serious pathology, which manifests itself in the displacement of one of the hemispheres. The cause may be a tumor, a hemorrhage or a large cyst. This pathology requires an early application to a specialist.

Intraventricular or parenchymal hemorrhage in newborn infants can also be detected with the help of the NSH study. Intraventricular hemorrhages are more common in children with hypoxia or prematurity. Parenchymatous often develop in the fetus in utero. With this pathology, treatment begins immediately from the moment of birth.

Hydrocephalus is an increase in one or more of the ventricles in the brain. Such a pathology requires an urgent appeal to a neurologist and intensive care.

Severe disorders of the nervous system can be detected almost from the first days of life with the help of the brain's new brain brain. Reviews of parents whose children have completely recovered from this study and have not become disabled since their earliest childhood testify to the expediency of conducting the procedure in case of any suspicion. Experts adhere to the same opinion.

NSHA of newborns. Explanation

Reading the transcript of this research is done exclusively by the doctor. This takes into account all the nuances of labor:

• How did the delivery take place - with complications or without them.
• How long they lasted.
• Did the fetus have hypoxia?
• Were birth injuries in the newborn.
• The weight of the child, etc.

Given all these data, the doctor makes a conclusion. With such a study as the brain neonatal brain of the newborn, the decoding of the data can be the norm for some babies, and for others (taking into account the complications in the process of birth) - no. The following data are evaluated during the study:

1. Symmetry or asymmetry of brain structures. In the norm there should be complete symmetry.
2. Sharpness of furrows and convolutions in the cerebral cortex.
3. Symmetry and homogeneity of the ventricles of the brain, anehogenicity. The presence of so-called flakes (seals) indicates hemorrhages.
4. Hyperechogenicity and homogeneity of vascular congestion.
5. Absence of leukomalacia (excessive softness of the structure of the medulla).
6. Absence of cysts.

Normal values of NSG

It is taken into account for the study of the NSH of newborn norms of the size of some parts of the brain in children of the first days of life. They are reflected in the table below.

With age, normal parameters change, but symmetrical development and homogeneity of the structure of absolutely all parts of the brain is always the norm.

What to do if a pathology is found?

If a pathology is found, one should not panic immediately. The right thing to do immediately is to seek help from a child neurologist. After all, the earlier the treatment was started, the more favorable the forecast for the baby. Often the pathology is completely curable. And such a deviation as a cyst may not even require treatment at all. As a rule, cysts of the brain of newborns dissolve independently. Only observation is required.

Cost of the study

In various medical institutions, the price of a newborn brain brain test for a newborn brain may differ slightly. Its approximate cost is 1000 rubles. If you additionally perform dopplerometry, the price can be up to 1500 rubles. Inexpensive research allows time to notice and eliminate serious problems related to the health of the baby.