Assessing Cranial Ultrasound Examinations

  • Gerda Meijler
  • Sylke J. Steggerda


When performing and assessing CUS examinations, the anatomy (see Part II) and maturation (see Chap. 8) of the brain are evaluated, and signs of pathology, whether congenital or acquired, are sought. In general, anomalies should be visualised in at least two different planes (see Fig. 3.8). A detailed overview of brain pathology as can be visualised by CUS is provided in the Atlas on Cranial Ultrasonography by Govaert and De Vries [1].


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  1. 1.
    Govaert P, De Vries LS (2010) An atlas of neonatal brain sonography, 2nd edn. MacKeith Press, CambridgeGoogle Scholar
  2. 2.
    Levene MI (1981) Measurement of the growth of the lateral ventricles in preterm infants with real-time ultrasound. Arch Dis Child 56:900–904CrossRefGoogle Scholar
  3. 3.
    Davies MW et al (2000) Reference ranges for the linear dimensions of the intracranial ventricles in preterm neonates. Arch Dis Child Fetal Neonatal Ed 82:F218–F223CrossRefGoogle Scholar
  4. 4.
    Brouwer MJ et al (2012) New reference values for the neonatal cerebral ventricles. Radiology 262:224–233CrossRefGoogle Scholar

Further Reading

  1. Boxma A et al (2005) Sonographic detection of the optic radiation. Acta Paediatr 94:1455–1461CrossRefGoogle Scholar
  2. Daneman A, Epelman M (2015) Neurosonography: in pursuit of an optimised examination. Pediatr Radiol 45:S406–S412CrossRefGoogle Scholar
  3. de Goederen R et al (2017) Effect of preterm birth on echogenicity in basal ganglia. Ultrasound Med Biol 43:2192–2199CrossRefGoogle Scholar
  4. de Vries LS et al (1992) The spectrum of leukomalacia using cranial ultrasound. Behav Brain Res 49:1–6CrossRefGoogle Scholar
  5. Ecury-Goossen GM et al (2015) State of the art cranial ultrasound imaging in neonates. J Vis Exp (96):e52238Google Scholar
  6. Fabre C et al (2018) Hyperechogenicity of lenticulostriate vessels: a poor prognosis or a normal variant? A seven year retrospective study. Pediatr NeonatolGoogle Scholar
  7. Griffiths PD et al (2010) Atlas of foetal and postnatal brain MRI. Mosby Elsevier, Philadelphia, PAGoogle Scholar
  8. Horsch S et al (2005) Ultrasound diagnosis of brain atrophy is related to neurodevelopmental outcome in preterm infants. Acta Paediatr 94(12):1815–1821CrossRefGoogle Scholar
  9. Leijser LM et al (2006) Using cerebral ultrasound effectively in the newborn infant. Early Hum Dev 82(12):827–835CrossRefGoogle Scholar
  10. Leijser LM et al (2009) Frequently encountered cranial ultrasound features in the white matter of preterm infants: correlation with MRI. Eur J Paediatr Neurol. 13:317–326CrossRefGoogle Scholar
  11. Leijser LM et al (2010) Lenticulostriate vasculopathy in very preterm infants. Arch Dis Child Fetal Neonatal Ed 95:F42–F46CrossRefGoogle Scholar
  12. Meijler et al (2016) Neonatal cranial ultrasonography. Diagnostic pediatric ultrasound. 1st edn. Beek and Van RijnGoogle Scholar
  13. Murphy et al (1989) Cranial ultrasound assessment of gestational age in low birthweight infants. Arch Dis Child 64:569–572CrossRefGoogle Scholar
  14. Naidich TP et al (1994) The developing cerebral surface. Preliminary report on the patterns of sulcal and gyral maturation—anatomy, ultrasound, and magnetic resonance imaging. Neuroimaging Clin N Am 4:201–240PubMedGoogle Scholar
  15. Sie LT et al (2000) Early MR features of hypoxic-ischaemic brain injury in neonates with periventricular densities on sonogram. Am J Neuroradiol 21:852–861PubMedGoogle Scholar
  16. Shin HJ et al (2015) Imaging patterns of sonographic LSV and correlation with clinical and neurodevelopmental outcomes. J Clin Ultrasound 43:367–374CrossRefGoogle Scholar
  17. Steggerda SJ et al (2009) Neonatal cranial ultrasonography: how to optimise its performance. Early Hum Dev 85:93–99CrossRefGoogle Scholar
  18. van Wezel-Meijler G, de Vries LS (2014) Cranial ultrasound—optimising utility in the NICU. Curr Pediatr Rev 10(1):16–27CrossRefGoogle Scholar
  19. van Wezel-Meijler G et al (2011) Diffuse hyperechogenicity of basal ganglia and thalami in preterm neonates: a physiologic finding? Radiology 258(3):944–950CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Gerda Meijler
    • 1
  • Sylke J. Steggerda
    • 2
  1. 1.Department of NeonatologyIsala Women and Children’s HospitalZwolleThe Netherlands
  2. 2.Department of NeonatologyLeiden University Medical CenterLeidenThe Netherlands

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