新生儿脑卒中是新生儿期严重的神经系统疾病,缺乏特异的临床症状和体征,多为亚临床状态,极易漏诊,以至延误治疗,造成不同程度的神经系统损伤。以往人们对该病的认识不足,随着神经影像学的发展和进步,不仅提高了新生儿脑卒中的诊断率,而且也为了解脑损伤程度提供了依据,并可据此选择适当的干预措施,判断预后。目前临床常用的影像学手段有:头颅超声波检查、计算机头部断层扫描和磁共振。在新生儿脑卒中诊断中,不同的检查方法各有其优点和不足。该文介绍了神经影像技术在新生儿脑卒中诊断方面的应用。
Neonatal stroke is a severe disease in the central nervous system (CNS) of newborns. Since it lacks specific clinical manifestation and most of the patients are in a subclinical status, the diagnosis is often leaked even the treatment is delayed, which result in CNS damage with varied degrees, In the past, the people' s recognition for the disease was inadequate. However, with development, progression and application of neuroimaging in neonatal clinics, the rate of diagnosis for neonatal stroke has increased. Neuroimaging can provide not only evidence and severity of brain damage but also the reference to appropriate intervention and prognosis. At present, common neuroimaging techniques used in the clinic include cranial uhrasonography, cranial computed tomography (CT) and magnetic resonance imaging (MRI). Each of these neuroimaging techniques has its own advantages and limitations. In this article, we introduced the application of neuroimaging techniques in diagnosis of neonatal stroke.