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所在平台: Udemy |
课程主页: https://www.udemy.com/course/neonatal-cranial-ultrasound-course/
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课程名称：新生儿颅内超声检查课程 课程概述：该课程重点介绍经颅多普勒超声（TCDI）的临床重要性，相比于颅脑计算机断层扫描（CT）和磁共振成像（MRI）更具功能性结果。TCDI是一种床边使用、低成本且快速的成像方式，适用于多种危重儿科疾病，如脑水肿、中风、脑血管炎和血管狭窄。课程内容涵盖12个主要部分，包括颅内超声检查的基本方法、多个实时病例的选择、超声和多普勒超声的物理和技术原理、颅内解剖详解、技术、脑生物测量和发育解剖。 课程还包括颅内超声检查的指南和报告系统、缺氧缺血性脑病、白质软化症、脑死亡、婴儿猝死、颅内出血、头皮病变、脑周围液体积聚和脑积水、脑感染（如脑膜脑炎）、先天性畸形及占位性病变、儿童经颅多普勒检查等内容。课程还通过实时案例进行复习，并探讨新生儿与老年人正常及病理状态下的RI值变化。 课程强调，严重的头部外伤是儿童住院和脑损伤的主要原因。颅脑MRI被认为是调查更复杂的脑损伤模式（如轴索损伤和皮层撕裂）的最佳方法，而颅脑CT初步指示用于识别出血，但没有预后价值，且不适用于治疗监测。经颅多普勒被认为是识别继发性脑水肿和监控治疗的最佳方法，能很好地预测预后，建议在严重头部外伤儿童中至少每日进行一次检查。
The clinical importance of TCDI because the functional results is superior to the more phenomenological imaging results of cranial computed tomography and magnetic resonance imaging (MRI).TCDI provides a• bedside• low cost• fast imaging modality in many critical pediatric diseases as brain edema, stroke, cerebral vasculitis and vascular stenosis. 12 main sections to cover cranial ultrasound modality , many real time cases are selected Physical and Technical Principles of ultrasound and Doppler SonographyDetailed real time anatomy , technique , brain Biometry and developmental anatomyGuidelines and checklist for cranial sonography with related reporting systemHypoxic Ischemic encephalopathy - Leukomalacia - Brain death - Sudden Infant deathIntracranial Hemorrhagescalp lesionsPericerebral fluid collection and hydrocephalusBrain Infection - Meningoencephalitis Congenital malformation and space occupying lesionsPediatric Transcranial DopplerRevision of the course by real time casesDo You Know RI0.65-0.85 in the neonate0.60-0.70 in the child before fontanelle closure0.50-0.60 in older children and adults through temporal window after fontanelle closure. Severe head trauma is a major cause of hospitalization and brain injury in childhood.Cranial MRI is the best method to investigate the more complex brain injury patterns as axonal injury and cortical sheering.cranial CT is initially indicated to recognise bleeding; it has no prognostic value and is not suitable for therapy monitoringTranscranial doppler best method to recognize secondary brain oedema and to control therapy.very good prediction of the outcome. recommend to be done at least daily in children with severe head trauma.
