E1880. Cranial Ultrasound in the Critically Ill Infant: A Pictorial Review
  1. Sankarsh Jetty; University of Rochester
  2. Solomon Kim; University of Rochester
  3. Shehanaz Ellika; University of Rochester
  4. Apeksha Chaturvedi; University of Rochester
Ultrasound is a low cost, no radiation, no sedation tool that can be performed at the bedside making it a valuable tool for evaluating neonates, particularly in the acute setting. Knowledge of emergent imaging characteristics can lead to prompt diagnosis and treatment.

Educational Goals / Teaching Points
Gain familiarity with common ultrasound technique, including technical considerations and imaging planes; review normal ultrasound anatomy of the infant brain; review imaging characteristics of common and uncommon emergencies of infancy; and review common artifacts and normal variants.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
We will review common ultrasound technique, including the normal anatomy as viewed through several different scanning planes. We will then present imaging findings of vascular and non-vascular emergencies, including those found in infants on Extracorporeal Membrane Oxygenation (ECMO). The presentation will conclude with an overview of common mimics of pathology.

Ultrasound is often the initial imaging modality of choice in infants presenting with acute neurological symptoms. Unfortunately, unfamiliarity with commonly seen pathologies in the acute infant has led to under diagnosis and over reliance on alternative imaging modalities for making the diagnosis. Knowledge of imaging findings relating to the acutely ill infant will lead to earlier treatment and reduced infant morbidity and mortality.