Some considerations on transfontanellar ultrasonography in the diagnostic approach to cerebral diseases in the newborns and infants

Transfontanellar ultrasonography is the first methodology in the study of the central nervous system of the newborn, especially if the baby is premature and the checked pathologic picture is influenced by the pregnancy age of the little patient, as intracerebral haemorhagic lesions and hypoxic ischaemic lesions are much more frequent in the premature. In case of diseases not correlated with the pregnancy age, as congenital anomalies, and endocranial infections, haemorhagic and neoplasms, transfontanelle ultrasonography also shows its undisputed utility. Transfontanellar ultrasonography with Color Doppler allows a further intensification of the investigation and the use of echographic contrast media will significantly help the vascular diagnosis.