Poster électronique

L'hypoglycémie néonatale : particularités en imagerie des lésions aiguës et séquellaires
N. Rotaru, M. Koob - Strasbourg - France
Congrès 2010
Poster
3
1 votes.
Vu 3 fois.
Résumé
Objectifs
Décrire les lésions cérébrales aiguës et séquellaires observées en IRM après une hypoglycémie néonatale.
Matériels et méthodes
Les IRM de 17 enfants âgés de 2 jours à 7 ans et ayant présenté une hypoglycémie néonatale ont été analysées rétrospectivement. Ces IRM ont été réalisées en période périnatale (J2-J7) chez 6 enfants, à distance (de 1 mois à 7 ans) chez 11 enfants, et en période périnatale et à distance chez 5 enfants.
Résultats
Au stade aigu, les lésions les plus fréquemment observées étaient des ischémies et/ou des lésions de leucomalacie hémorragique. Les lésions ischémiques étaient localisées principalement au niveau du cortex et de la substance blanche pariéto-occipitale de manière bilatérale, ainsi qu'au niveau du splenium du corps calleux. A distance, une atrophie cortico-sous-corticale séquellaire étaient observée au niveau des régions pariéto-occipitales, associée à un hypersignal en FLAIR de la substance blanche résiduelle.
Conclusion
Les lésions ischémiques observées après une hypoglycémie néonatale se localisent préférentiellement au niveau des régions pariéto-occcipitales, régions les plus vulnérables en cas de déficit en apport en glucose.
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2017-09-03 21.30 :
Scott Jones

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