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E u r o S c i C o n C o n f e r e n c e o n
Neurology & Neurological
Disorders
Neurology 2018
J u l y 1 2 - 1 3 , 2 0 1 8
P a r i s , F r a n c e
Page 100
Journal of Neurology and Neuroscience
ISSN: 2171-6625
L
enticulostriate vasculopathy (LSV) is a sonographic term given to branching hyperechogenic lines in the basal ganglia and /or
thalamus seen on cranial ultrasound scans. LSV was first described on a neonatal cranial ultrasound in 1985, but the clinical
importance, relevance to congenital infections, and long-term consequences of LSV on neonatal cranial ultrasound continues
to be unclear. The incidence of LSV being reported has increased recently, which might reflect nothing more than a growing
awareness of this finding on neonatal cranial ultrasound. On the other hand, improved ultrasound imaging technology may have
enhanced identification, and there may be an increase in the frequency of risk factors contributing to the presence of LSV. We
suspect that improvements in US technology have enhanced the visibility of the arterial walls in the supratentorial deep gray
matter. Thus, thin and faint lenticulostriate vessels that are seen on neonatal cranial US using contemporary technology may
not necessarily pathological. This review on LSV provides an update of current knowledge, with emphasis on definition and
challenges that might have evolved with establishing the diagnosis during the last three decades. It has been accepted that
lenticulostriate arteries supplying the deep gray matter are not normally visualized on the cranial ultrasound. For the first time in
the literature, we challenged this notion in light of the recent technological advances in ultrasound imaging that have enhanced
ultrasound imaging. Conflict still exists in terms of the clinical importance and long-term outcomes of LSV since the first case
reported three decades ago. In this article, we also scrutinized the available evidence on clinical correlation of this neonatal
ultrasound finding, discussed long-term outcomes, and provided strategies that may guide practitioners in clinical settings.
Julide.Sisman@utsouthwestern.eduNew perspectives on lenticulostriate vasculopathy
in neonates
Julide Sisman
UT Southwestern Medical Center, Texas, USA
J Neurol Neurosci 2018, Volume: 9
DOI: 10.21767/2171-6625-C1-009