What is the ability of neonatal cranial US to predict long-term neurodevelopmental outcome in VLBW PT infants?
Recommendation (Level A): For VLBW PT infants, US should be used to predict long-term neurodevelopmental outcome. The findings of grades 3 and 4 intraventricular hemorrhage, periventricular cystic lesions, and moderate to severe ventriculomegaly are all associated with adverse outcome. Term Infants with Neonatal Encephalopathy Which neonatal neuroimaging strategies can detect cerebral abnormalities that will affect the immediate and long-term management of the infant with neonatal encephalopathy? Recommendations for Diagnostic Assessment • For infants with a history of neonatal encephalopathy, significant birth trauma, and evidence for low hematocrit or coagulopathy: • Noncontrast computed tomography (CT) should be performed to look for hemorrhage (Level B) • If the CT findings cannot explain the clinical status of the neonate, MRI should be performed (Level A). • For other neonates with acute encephalopathy: • MRI should be performed between days 2 and days 8 of life (Level A). • If s
