• Zobia Saleem, Raham Bacha, and Summan Hameed.
• Department of Radiology and Medical Imaging, The University of Lahore, Lahore, Pakistan.
• J Coll Physicians Surg Pak. 2023 Sep 1; 33 (9): 107310751073-1075.

AbstractThis study aimed to determine the association of intracranial abnormalities through transcranial ultrasound in preterm neonates having seizures and to analyse them with preterm classes. It was a cross-sectional analytical study at the Radiology Department of Shalamar Hospital, Lahore. This study observed a total of 103 pretermers with a history of seizures through transcranial ultrasound. These pretermers were classified into three classes according to their gestational age. Abnormal cranial scans were found in 42 (40.8%) preterm infants, with ventriculomegaly and intracranial haemorrhage more common in 18.4% and 17.5% of neonates. The p-values for intracranial haemorrhage in classes I, II, and III were 0.016, 0.001, and <0.001, respectively, while ventriculomegaly in preterm classes II and III was 0.003 and <0.001, respectively. In all preterm categories, intracranial haemorrhage was found to be the most likely cause of seizures, which tended to increase with decreasing gestational age. However, ventriculomegaly was identified as a significant cause of seizures in preterm classes II and III but not in class I. Key Words: Cranial ultrasound, Preterm, Seizures.

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