Diagnosis of lenticulostriate vasculopathy – past, present and the future

Aim. The paper represents a review of the current state of knowledge regarding lenticulostriate vasculopathy (LSV) in premature and term neonates. Material and method. There are reviewed the definition, the history of this diagnosis, the epidemiology, the anatomy of the vessels the etiology and the...

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Main Authors: Isabella Ene, Camelia Alina Basa, Catalina Ioana Grama, Adelina Maria Giubega, Bogdan Florin Gont, Alexandra Floriana Nemes, Irina Aura Cuzino, Anca Roxana Bivoleanu, Adrian Ioan Toma, Roxana Bohiltea, Vlad Dima
Format: Article
Language:English
Published: Amaltea Medical Publishing House 2022-12-01
Series:Romanian Journal of Pediatrics
Subjects:
Online Access:https://rjp.com.ro/articles/2022.4/RJP_2022_4_Art-02.pdf
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author Isabella Ene
Camelia Alina Basa
Catalina Ioana Grama
Adelina Maria Giubega
Bogdan Florin Gont
Alexandra Floriana Nemes
Irina Aura Cuzino
Anca Roxana Bivoleanu
Adrian Ioan Toma
Roxana Bohiltea
Vlad Dima
author_facet Isabella Ene
Camelia Alina Basa
Catalina Ioana Grama
Adelina Maria Giubega
Bogdan Florin Gont
Alexandra Floriana Nemes
Irina Aura Cuzino
Anca Roxana Bivoleanu
Adrian Ioan Toma
Roxana Bohiltea
Vlad Dima
author_sort Isabella Ene
collection DOAJ
description Aim. The paper represents a review of the current state of knowledge regarding lenticulostriate vasculopathy (LSV) in premature and term neonates. Material and method. There are reviewed the definition, the history of this diagnosis, the epidemiology, the anatomy of the vessels the etiology and the methods of diagnosis. Results. LSV is defined as the bright hyperechoic blood vessels in the region of the thalamus and basal ganglia. It was first described in 1960. The incidence is 0.3-2% of live births. The etiology is infectious (congenital rubella, cytomegalovirus, toxoplasma, or other chronic intrauterine infections), hypoxic ischemic, and in many cases idiopathic (without a clear cause). The diagnosis is mainly done by ultrasonography – the are also proposed classification systems based on the number of vessels affected and/or the echogenicity of the vessels involved. Conclusion. LSV represents a pathology recognized for a long time, in the past, it was considered mainly associated with chronic intrauterine infections, at present, it is more and more seen as a consequence of perinatal hypoxic events. Further large follow-up studies are needed in order to better characterize the etiology and prognosis of this pathologic condition.
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spelling doaj.art-246128f950684718b72d4a4fd5d5384b2023-06-13T09:28:48ZengAmaltea Medical Publishing HouseRomanian Journal of Pediatrics1454-03982069-61752022-12-0171416817510.37897/RJP.2022.4.2Diagnosis of lenticulostriate vasculopathy – past, present and the futureIsabella Ene0Camelia Alina Basa1Catalina Ioana Grama2Adelina Maria Giubega3Bogdan Florin Gont4Alexandra Floriana Nemes5Irina Aura Cuzino6Anca Roxana Bivoleanu7Adrian Ioan Toma8Roxana Bohiltea9Vlad Dima10INSMC ”Alessandrescu Rusescu”, Bucharest, Romania; Department of Neonatology, Life Memorial Hospital, Bucharest, RomaniaINSMC ”Alessandrescu Rusescu”, Bucharest, Romania; Department of Neonatology, Life Memorial Hospital, Bucharest, RomaniaINSMC ”Alessandrescu Rusescu”, Bucharest, Romania; Department of Neonatology, Life Memorial Hospital, Bucharest, RomaniaINSMC ”Alessandrescu Rusescu”, Bucharest, Romania; Department of Neonatology, Life Memorial Hospital, Bucharest, RomaniaNeonatal Intensive Care Department, ”Marie Curie” Hospital, Bucharest, Romania; Department of Neonatology, Life Memorial Hospital, Bucharest, RomaniaDepartment of Neonatology, Life Memorial Hospital, Bucharest, Romania; Faculty of Medicine, ”Titu Maiorescu” University, Bucharest, RomaniaDepartment of Neonatology, Life Memorial Hospital, Bucharest, Romania”Cuza Voda” Clinical Hospital of Obstetrics and Gynecology, Iasi, Romania; ”Gr. T. Popa” University of Medicine and Pharmacy, Iasi, RomaniaDepartment of Neonatology, Life Memorial Hospital, Bucharest, Romania; Faculty of Medicine, ”Titu Maiorescu” University, Bucharest, Romania”Carol Davila” University of Medicine and Pharmacy, Bucharest, Romania; Filantropia Clinical Hospital, Bucharest, RomaniaFilantropia Clinical Hospital, Bucharest, RomaniaAim. The paper represents a review of the current state of knowledge regarding lenticulostriate vasculopathy (LSV) in premature and term neonates. Material and method. There are reviewed the definition, the history of this diagnosis, the epidemiology, the anatomy of the vessels the etiology and the methods of diagnosis. Results. LSV is defined as the bright hyperechoic blood vessels in the region of the thalamus and basal ganglia. It was first described in 1960. The incidence is 0.3-2% of live births. The etiology is infectious (congenital rubella, cytomegalovirus, toxoplasma, or other chronic intrauterine infections), hypoxic ischemic, and in many cases idiopathic (without a clear cause). The diagnosis is mainly done by ultrasonography – the are also proposed classification systems based on the number of vessels affected and/or the echogenicity of the vessels involved. Conclusion. LSV represents a pathology recognized for a long time, in the past, it was considered mainly associated with chronic intrauterine infections, at present, it is more and more seen as a consequence of perinatal hypoxic events. Further large follow-up studies are needed in order to better characterize the etiology and prognosis of this pathologic condition. https://rjp.com.ro/articles/2022.4/RJP_2022_4_Art-02.pdflenticulostriate vasculopathyinfectionshypoxic-ischemic injuriespreterm neonatesterm neonatesultrasound
spellingShingle Isabella Ene
Camelia Alina Basa
Catalina Ioana Grama
Adelina Maria Giubega
Bogdan Florin Gont
Alexandra Floriana Nemes
Irina Aura Cuzino
Anca Roxana Bivoleanu
Adrian Ioan Toma
Roxana Bohiltea
Vlad Dima
Diagnosis of lenticulostriate vasculopathy – past, present and the future
Romanian Journal of Pediatrics
lenticulostriate vasculopathy
infections
hypoxic-ischemic injuries
preterm neonates
term neonates
ultrasound
title Diagnosis of lenticulostriate vasculopathy – past, present and the future
title_full Diagnosis of lenticulostriate vasculopathy – past, present and the future
title_fullStr Diagnosis of lenticulostriate vasculopathy – past, present and the future
title_full_unstemmed Diagnosis of lenticulostriate vasculopathy – past, present and the future
title_short Diagnosis of lenticulostriate vasculopathy – past, present and the future
title_sort diagnosis of lenticulostriate vasculopathy past present and the future
topic lenticulostriate vasculopathy
infections
hypoxic-ischemic injuries
preterm neonates
term neonates
ultrasound
url https://rjp.com.ro/articles/2022.4/RJP_2022_4_Art-02.pdf
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