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Transcranial Doppler evaluation of cerebral hemodynamic alteration in preterms with early onset neonatal sepsis

Abstract

Objective

To evaluate the cerebral blood flow and the cerebral hemodynamic alteration by Doppler ultrasound in preterms with early onset-neonatal sepsis.

Method

Total forty two preterms divided into two groups whether with clinical and laboratory diagnosis of early onset neonatal sepsis (EONS) or not. Both groups assessed with Doppler Ultrasound of the anterior (ACA) and middle (MCA) cerebral arteries, with the peak systolic velocity (PSV), end diastolic velocity (EDV), resistivity index (RI) and pulsatility index (PI) calculation and recording.

Results

Statistically significant lower RI (p: .0001), lower PI (p: .0001) in both the ACA and MCA in the group with neonatal sepsis, in comparison with the group with no clinical evidence of neonatal sepsis.

Conclusion

Study results showed vasodilatation and reduced resistance in the cerebral arteries in preterms with early onset neonatal sepsis.

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Correspondence to Rania H. Hashem.

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Hashem, R.H., Abdalla, Y.E., Mansi, Y.A. et al. Transcranial Doppler evaluation of cerebral hemodynamic alteration in preterms with early onset neonatal sepsis. Artery Res 19, 83–90 (2017). https://doi.org/10.1016/j.artres.2017.06.004

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  • DOI: https://doi.org/10.1016/j.artres.2017.06.004

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