Acute and critical paediatric neurological conditions: The role of the neuroradiologist
DOI:
https://doi.org/10.46475/asean-jr.v27i2.1009Keywords:
paediatric, neuroradiologist, PRES, acute toxic leucoencephalopathy, neonatal CNS infection, paediatric stroke, ADEMAbstract
Acute paediatric neurological diseases are common conditions that can result in significant morbidity and mortality, particularly if a timely diagnosis is not made. Unfortunately, clinical presentations can be non-specific, with seizures and headaches being the most frequent complaints. It is therefore important for radiologists to be familiar with these conditions and their respective imaging features to allow prompt diagnosis and management.
The aim of this article is to briefly review the clinical presentation and imaging features across six common categories: intracranial haemorrhage, toxin-related injury, infections, autoimmune disorders, stroke, and seizures.
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References
Moreau JF, Fink EL, Hartman ME, Angus DC, Bell MJ, Linde-Zwirble WT, et al. Hospitalizations of children with neurologic disorders in the United States. Pediatr Crit Care Med. 2013;14: 801-10. doi:10.1097/PCC.0b013e31828aa71f.
Pollina J, Dias MS, Li V, Kachurek D, Arbesman M. Cranial birth injuries in term newborn infants. Pediatr Neurosurg 2001;35:113-9. doi:10.1159/000050403.
King S J, Boothroyd AE. Cranial trauma following birth in term infants. Br J Radiol 1998;71:233-8. doi:10.1259/bjr.71.842.9579191.
Bradford R, Choudhary AK, Dias MS. Serial neuroimaging in infants with abusive head trauma: timing abusive injuries. J Neurosurg Pediatr 2013;12:110-9. doi:10.3171/2013.4.PEDS12596.
Kontzialis M, Huisman TAGM. Toxic-metabolic neurologic disorders in children: A neuroimaging review. J Neuroimaging 2018;28:587-95. doi:10.1111/jon.12551.
Cheung C, Fung KFK, Ng CWK, Chan PKJ, Wong KC, Lam KSG, et al. Treatment-related complications in children with cancer. Radiographics 2024;44: e230072. doi:10.1148/rg.230072.
Zhai Q, Li S, Zhang L, Yang Y, Jiang S, Cao Y. Changes in pathogens of neonatal bacterial meningitis over the past 12 years: A single-center retrospective study. Transl Pediatr 2022;11:1595-603. doi:10.21037/tp-22-103.
Friede RL. Cerebral infarcts complicating neonatal leptomeningitis. Acute and residual lesions. Acta Neuropathol 1973;23:245–53. doi: 10.1007/BF00687879.
George MP, Kim WG, Lee EY. Tales from the night:: Emergency MR imaging in pediatric patients after hours. Magn Reson Imaging Clin N Am 2019;27: 409-26. doi:10.1016/j.mric.2019.01.013.
Census Bureau US, US Department of Commerce. 2022 National Survey of Children’s Health: methodology report. Accessed March 21, 2026. https://www2.census.gov/programs-surveys/nsch/technical-documentation/methodology/2022-NSCH-Methodology-Report.pdf
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