Performing Cranial Ultrasound Examinations

  • Gerda Meijler
  • Sylke J. Steggerda


Preterm infants and sick full-term infants are examined in their incubator while maintaining monitoring of vital functions (see also Chap. 2 and Fig. 1.1). It is recommended that the CUS examination is performed with only the incubator windows open to avoid temperature loss. Manipulation of the infant (with the exception of minor adjustments) is rarely necessary while scanning through the anterior fontanel. Older infants and full-term, well neonates can be examined in their cot or car seat or on an adult’s lap (Fig. 3.1).


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Further Reading

  1. Correa F et al (2004) Posterior fontanelle sonography: an acoustic window into the neonatal brain. AJNR Am J Neuroradiol 25:1274–1282Google Scholar
  2. Ecury-Goossen GM, Camfferman FA, Leijser LM, Govaert P, Dudink J (2015) State of the art ultrasound imaging in neonates. J Vis Exp:e52238Google Scholar
  3. Enriquez G et al (2006) Mastoid fontanel approach for sonographic imaging of the newborn brain. Pediatr Radiol 36(6):532–540CrossRefGoogle Scholar
  4. Di Salvo DN (2001) A new view of the neonatal brain: clinical utility of supplemental neurologic US imaging windows. Radiographics 21:943–955CrossRefGoogle Scholar
  5. Steggerda SJ, van Wezel-Meijler G (2016) Cranial ultrasound of the immature cerebellum: role and limitations. Semin Fetal Neonatal Med 21(5):295–304CrossRefGoogle Scholar
  6. Steggerda SJ et al (2009) Neonatal cranial ultrasonography: how to optimize its performance. Early Hum Dev 85:93–99CrossRefGoogle Scholar
  7. Steggerda SJ et al (2015) Posterior fossa abnormalities in high-risk term infants: comparison of ultrasound and MRI. Eur Radiol 25:2575–2583CrossRefGoogle Scholar
  8. van Wezel-Meijler G, Steggerda SJ, Leijser LM (2010) Cranial ultrasonography in neonates: role and limitations. Semin Perinatol 34(1):28–38CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Gerda Meijler
    • 1
  • Sylke J. Steggerda
    • 2
  1. 1.Department of NeonatologyIsala Women and Children’s HospitalZwolleThe Netherlands
  2. 2.Department of NeonatologyLeiden University Medical CenterLeidenThe Netherlands

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