Mirror-image artifact mimicking epidural hematoma: Usefulness of power Doppler sonography

Cakmakci H., Gulcu A., Zenger M.

JOURNAL OF CLINICAL ULTRASOUND, vol.31, no.8, pp.437-439, 2003 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 31 Issue: 8
  • Publication Date: 2003
  • Doi Number: 10.1002/jcu.10194
  • Journal Name: JOURNAL OF CLINICAL ULTRASOUND
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.437-439
  • Keywords: artifact, mirror image, cephalhematoma, cranial ultrasonography, power Doppler ultrasonography
  • Dokuz Eylül University Affiliated: No

Abstract

During sonographic examination, a mirror-like interface can scatter the ultrasound beam, producing mirror-image artifacts. We describe a case of bilateral parietal cephalhematoma in the parietal region of a 2-day-old neonate that mimicked bilateral epidural hematoma on routine sonographic examination. Forceps had been used during delivery, and the neonate had been experiencing episodes of apnea since birth. Gray-scale coronal sonograms showed anechoic structures resembling epidural hematomas in the left and right parietal regions. However, color and power Doppler sonography showed normal vascular findings, thus permitting identification of the mirror-image artifact. (C) 2003 Wiley Periodicals, Inc.