Sonographic stroke templates

Semin Fetal Neonatal Med. 2009 Oct;14(5):284-98. doi: 10.1016/j.siny.2009.07.006. Epub 2009 Aug 13.


This chapter provides arterial and venous stroke templates, designed with neonatal brain ultrasound as the viewpoint and adult stroke templates as the basis. Images change with maturation of the stages of infarction: swelling, necrosis, organisation and tissue loss. Adult templates permit recognition of well-delineated stroke types observed in the newborn brain. All circle of Willis arteries can be involved, as can their perforator branches. Middle cerebral artery (MCA) truncal stroke (anterior or posterior) is an important entity, with different prognosis than complete MCA stroke. Knowledge of these templates also aids in the definition of combinations of infarction (e.g. internal carotid artery stroke or pial plus perforator stroke) and of interarterial watershed injury. Venous templates, even if still under development around the time of birth, permit us to understand brain injury associated with sinus or deep vein thrombosis, especially several types of intracranial haemorrhage. Hindbrain stroke templates are scarcely applied to perinatal lesions.

Publication types

  • Review

MeSH terms

  • Brain / blood supply*
  • Brain / pathology
  • Diagnosis, Differential
  • Diagnostic Imaging / methods
  • Disease Progression
  • Humans
  • Infant, Newborn
  • Infarction, Anterior Cerebral Artery / diagnosis
  • Infarction, Anterior Cerebral Artery / diagnostic imaging
  • Infarction, Middle Cerebral Artery / diagnosis
  • Infarction, Middle Cerebral Artery / diagnostic imaging
  • Infarction, Posterior Cerebral Artery / diagnosis
  • Infarction, Posterior Cerebral Artery / diagnostic imaging
  • Sinus Thrombosis, Intracranial / diagnosis
  • Sinus Thrombosis, Intracranial / diagnostic imaging
  • Stroke / classification
  • Stroke / diagnosis*
  • Stroke / diagnostic imaging
  • Ultrasonography
  • Venous Thrombosis / diagnosis
  • Venous Thrombosis / diagnostic imaging