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The lesion of the left thalamus





Tags: Brain sonography(Neurosonography), Gastrointestinal sonography, Images, Video, Clinical report, Esaote MyLab 70, Pediatric

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  The lesion of the left thalamus
#1

    Baby 2 month ultrasound screening at the age of 1 month, including neurosonography(NSG) - without a pathology.

    On the same day he was sent to one of child hospital(CH) in Moscow because of the prolonged jaundice, where on the next day was done NSG - in the projection of basal ganglia (thalamus) in the left is determined the triangular shape focus of increased echogenicity with indistinct contours 11x7mm, with no signs of increased vascular pattern at CFM, the exact morphological picture at the time of exam is difficult to determine. Also in this CH suspected the cytomegalovirus infection, pilorospazm / developing pyloric stenosis (the wall thickness of the pyloric stomach 2.5-3mm), increased echogenicity of the kidneys.

    Recommendations repeat NSG and abdominal US, kidney US after 1 week (in the amplification of regurgitation before).

    At the current ultrasound in the left thalamus visualized two intimately located hyperechoic structure, one linear 8x3mm (talamostriarnaya vasculopathy?) and second round shape 5x8x6mm (?).

    external link

    Stomach with heteroechoic content, pyloric portion - closed: of 14 mm in length, diameter 10.6 mm, muscular wall to 3.5 mm; open: to 2.5 mm muscular wall, pyloric portion opens, visualised the food passage (pilorospazm).

    external link

    Kidneys are normal.

    Recommended CT / MRI of the brain, consulting neurosurgeon / neurologist.

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  19:04 09-11-2017
 
#2

    Today was at the lecture about strokes in infants, in particular, there was presented a case of a stroke on ultrasound - the initial brain ultrasound without changes and repeated ultrasound after 2 hours with a large zone (several cm) of hyperechogenicity.

    So 2 hours is enough.

  02:43 12-04-2022
 
#3

    "Risk factors for pediatric stroke."

    See table 1 at external link


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