[Predictive value of cerebral ultrasound with respect to clinical outcome in infants diagnoses on neonatal meningitis: a focus 12 years later].

Abstract:

OBJECTIVE:To evaluate the predictive value of cerebral ultrasound in infants diagnoses on meningitis neonatal to the neurological outcome. METHOD:A retrospective study of 16 children admitted at Institute Fernandes Figueira RJ-Brazil, who had neonatal meningitis and were examined by cerebral ultrasound. The neurologic outcome was evaluated until 12 years of age. Positive and negative predictive values, sensitivity and specificity were calculated. RESULTS:56.25% were male and 81.25% premature. Hydrocephalus was the most frequent finding (56.25%) followed by normal exam (43.75%). Findings of hydrocephalus (9) only one had good neurologic outcome; and normal exam (7): only 57.14% without brain damage. Findings of ventriculitis (4) and brain abscesses (2) all had neurologic damage. Diagnosis of encephalomalacia (2): only one had good cognitive function. Findings of cerebral atrophy (2) all with severe outcome. CONCLUSION:The positive and predictive values were: 88.89%; 57.14% negative; sensitivity was 72.73% and specificity 80%.

journal_name

Arq Neuropsiquiatr

authors

Monteiro AM,Bomfim O

doi

10.1590/s0004-282x2006000300021

subject

Has Abstract

pub_date

2006-06-01 00:00:00

pages

461-5

issue

2B

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2006000300021

journal_volume

64

pub_type

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