Abstract
A prospective study using Computed Tomography (CT) was initiated to determine the incidence of sub-ependymal (SEH) and intraventricular hemorrhage (IVH) in infants ≤ 1500 grams. All 38 infants ≤ 1500 grams who were admitted to the Newborn Intensive Care Unit during a five month period have been evaluated.
The initial CT waa performed between the third and seventh postnatal day. If a CVH was noted, follow-up CT was done at one and three weeks after the initial CT. Nine of the 23 infants who survived had SEH and/or IVII present on the initial CT. Only one of these nine infants was suspected of having a CVU on clinical findings. Of these nine, five who had a small SEH and/or IVH with nornal ventricular size, had complete resolution of the hemorrhage at three weeks. The other four infants who demonstrated some degree of ventricular dilatation with the hemorrhage on the initial CT, required medical intervention to prevent the development of clinical hydrocephalus.
This study documents, for the first time, the relatively high incidence of CVH in infants ≤ 1500 grams and indicates that there are at least two types of CVH: 1) CVH with no ventricular dilatation which resolves spontaneously and 2) CVH with ventricular dilatation which requires medical intervention to prevent the development of clinical hydrocephalus.
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Papile, LA., Burstein, J., Burstein, R. et al. CEREBRAL INTRAVENTRICULAR HEMORRHAGE (CVH) IN INFANTS 1500 GRAMS. Pediatr Res 11, 564 (1977). https://doi.org/10.1203/00006450-197704000-01165
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DOI: https://doi.org/10.1203/00006450-197704000-01165