Publications by authors named "A Poloniato"

Objectives: Congenital thoracic masses (CTMs) are suspected in presence of solid or cystic thoracic lesions at ultrasound. The common typical fetal CTMs encompass: hyperechogenic lung lesions such as congenital pulmonary airway malformation (CPAM), broncopulmonary sequestration (PS) and congenital high airway obstruction syndrome (CHAOS); less common solid thoracic masses are mediastinal/pericardial tumors as rhabdomyoma and teratoma. The aim of our study is to gather the available evidence on cases of atypical CTMs of difficult classification, for which the diagnosis remains often uncertain.

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  • Clavicle fractures are the most common birth injury in newborns, and a systematic review was conducted to assess the effectiveness of ultrasound (US) for diagnosing these injuries.* -
  • Out of 231 initial studies, 7 were selected, examining 136 neonates; ultrasound accurately diagnosed all 135 confirmed fractures, while X-ray identified 95.7% of the fractures in a subset of patients.* -
  • The findings suggest that ultrasound is highly reliable for diagnosing clavicle fractures in newborns and should be regarded as the preferred method for this purpose.*
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  • - Perinatal asphyxia significantly contributes to neonatal death and health issues, with therapeutic hypothermia being the standard treatment that reduces mortality and major developmental disabilities.
  • - Endocrine-related problems, such as glucose and electrolyte imbalances or adrenal complications, can arise in infants experiencing perinatal asphyxia, potentially impacting their health outcomes.
  • - Clinicians need to recognize the potential endocrine complications in asphyxiated infants to implement effective screening and timely interventions for improving overall outcomes.
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  • * Diagnostic methods included EEG, brain MRI, metabolic screening, and clinical exome sequencing, revealing a likely pathogenic variant in the AIFM1 gene and significant functional impairment in mitochondrial protein production.
  • * The patient, who experienced severe seizures shortly after birth, showed some improvement by 6 months old without further decline, highlighting the unusual presentation and potential for varied outcomes in AIFM1-related conditions.
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