Intraventricular Hemorrhage in Full-Term Neonate.
- Author:
Myoung Bae JEON
;
Kook In PARK
;
Choon Sik YOON
;
Ran NAMGUNG
;
Chul LEE
;
Dong Gwan HAN
- Publication Type:Original Article
- MeSH:
Choroid;
Choroid Plexus;
Hemorrhage*;
Humans;
Infant;
Infant, Newborn*;
Infarction;
Intensive Care, Neonatal;
Lethargy;
Parturition;
Pediatrics;
Precipitating Factors;
Risk Factors;
Seizures, Febrile;
Survivors;
Ultrasonography;
Ventriculoperitoneal Shunt;
Vomiting
- From:Journal of the Korean Pediatric Society
1994;37(6):776-785
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Intraventricular hemorrhage is a common hemorrhagic cerebral disorder in premature, but occurs much less frequently in the full-term newborn. In order to obtain documentation of clinical and ultrasonographic characteristics of intraventricular hemorrhage in full-term, we performed cerebral ultrasonography on 602 newborn infants who had been admitted to neonatal intensive care unit at the Deppartment of Pediatrics, Yonsei University College of Medicine between December 1989 and June 1991. 15 cases (2.5%) of intraventricular hemorrhage were analysed. The results were as follows: 1) Among 15 cases with intraventricular hemorrhage, there was no obstetrical and perinatal complication in 8 cases (53%) and 13 cases (87%) were neurologically normal at birth. 2) Sudden onset of dramatic neurologic abnormalitis inclued seizures, fever, bulging fontanel, irritability, lethargy, vomiting in cases (73%) and the remainder (27%) had no clinical symptoms and signs. 3) The age at diangosis of hemorrhage was before 72 hours in 5 cases (33%), between 4 and 7 days in 2 cases (13%), at 8 to 28 days in 8 cases (53%), 8 of 15 cases (53%) had Grade 1 IVH, four with Grade 2, cases with Grade 3, and 1 case of these infant demonstrated Grade IV IVH. The source of hemorrhage was subependymal germinal matrix in 12 cases (80%) and choroid plaxus in 3 cases (20%). 4) Precipitating factors were cerebral venous infarction in 7 cases, hypoxic injury in 5, and 3 other infants had no identifiable medical risk factors. 5) Among all 15 survivors, 2 of 3 infants with choroid plexus hemorrhage required placement of a ventriculo-peritoneal shunt, in the other case, ventriculomegaly decreased spontaneously.
