Rapid Detection of Neonatal Intracranial Hemorrhage by Transillumination
1 Department of Pediatrics and Communicable Diseases, Section of Neonatology, and Department of Radiology, University of Michigan Medical School, Ann Arbor; and Department of Radiology-Medical Physics Division, University of Wisconsin, Madison
Using transillumination and a sensitive cadmium sulfide light meter, 145 newborns were screened for the presence of intracranial hemorrhage. Intracranial hemorrhage (ICH) was suspected when the light meter could not detect any light passing through the anterior fontanel when the light beam was directed through the frontal eminence. ICH was confirmed by cranial computed tomography or postmortem examination in all 17 infants not transmitting light. Spectrophotometry was performed on samples of cerebrospinal fluid (CSF) to demonstrate the mechanism through which blood in the CSF blocks light transmission.
Submitted on June 1, 1979Accepted on August 3, 1979
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