Abstract
Background: Anecdotal reports have shown neuroanatomical abnormalities in babies linked to maternal cocaine use. Hence, many neonatal units offer cranial ultrasound scan to babies born to mothers who have used cocaine. There is no strong evidence base for this clinical practice.
Aim: To assess usefulness of cranial ultrasound scans in management of babies born to mothers using cocaine.
Method: Retrospective review of cranial ultrasound findings of neonates born to cocaine using mothers.
Result: Out of fifty six babies born to mothers using cocaine, cranial ultrasound scans were performed on forty four babies. Forty one of these were reported as normal. Echogenic lesions were noted on ultrasound scans in three babies and in two of them, the lesions disappeared/improved. Only one baby was followed up in clinic for three months and was subsequently discharged.
Conclusion: CUSS in neonates whose mothers have used cocaine does not provide any important information regarding neuro-developmental outcome.
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Silwal, A., Seal, S. 1147 Use of Cranial Ultrasound Scan (CUSS) in Neonatal Abstinence Syndrome. Pediatr Res 68 (Suppl 1), 568 (2010). https://doi.org/10.1203/00006450-201011001-01147
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DOI: https://doi.org/10.1203/00006450-201011001-01147
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