Intracranial Hemorrhage in Late Hemorrhagic Disease of the Newborn: Brain Computed Tomographic Findings.
- Author:
Choon Sik YOON
1
;
Jun Gyun PARK
;
Myung Joon KIM
;
Min Soo PARK
;
Kook In PARK
;
Jun Soo LEE
Author Information
1. Department of Diagnostic Radiology, Pediatrics, Yonsei University College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Hemorrhagic disease;
Newborn;
Intracranial Hemorrhage;
Brain CT scan
- MeSH:
Brain*;
Cerebral Hemorrhage;
Hematoma, Subdural;
Hemorrhage;
Humans;
Infant, Newborn*;
Intracranial Hemorrhages*;
Subarachnoid Hemorrhage;
Tomography, X-Ray Computed;
Vitamin K Deficiency Bleeding
- From:
Journal of the Korean Child Neurology Society
1999;7(2):228-236
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study is to evaluate the Brain CT manifestations of late hemorrhagic disease of the newborn. METHODS: We evaluated 13 cases with late hemorrhagic disease of the newborn, for whom brain CT scans were performed. Clinical indications for brain CT scan were mental changes(n=5), vomiting(n=2), irritability(n=2), seizure(n=3), and lethargy(n=1). We analyzed the result of the brain CT findings with attention to anatomic locations of hemorrhage and characteristics of hemorrhagic manifestations. RESULTS: Only one patient in 13 patients was normal on brain CT scan, and 12 patients showed hemorrhagic lesions. Among 12 patients, 5 cases had single hemorrhagic lesion(3 subdural hemorrhages and 2 intracerebral hemorrhages, and 7 cases had multiple lesions, in which subdural hemorrhage and subarachnoid hemorrhage were common respectively. The other common brain CT findings except hemorrhagic lesion were the mass effects with ventricle compression(n=11), midline shifting(n=6), ventricular dilatation(n=7), and fluid-fluid levels in hemorrhagic lesion(n=9). CONCLUSION: The common intracranial hemorrhages of late hemorrhagic disease of the newborn were subdural and subarachnoid hemorrhages. The associated CT findings were mass effect and fluid-fluid levels. Intracranial hemorrhage in late hemorrhagic disease of newborn could massively occurr. Thus brain CT scan should be done if any symptom for neurologic abnormality was present.
