Abstract
A real-time ultrasound scanner was used to examine the brains of 137 infants born at less than 33 weeks of gestation who were admitted to the neonatal unit of Paediatric Department of Padua's University. The overall incidence of intraventricular hemorrhage (IVH) was 32.8%. 98 infants survived, 80 were repeatedly assessed until they had reached a corrected age of 24 months. The Brunet-Lezine test was used and a neurodevelopmetttal assessment for early diagnosis of neurological lesions. 85% of infants with normal scans or IVH grade I (according to Papile) were normal at follow-up and 15 had cerebral palsy (mild in three cases); 75% of infants with IVH III were normal and all the 6 infants with IVH IV had cerebral palsy. The Brunet-Lezine Developmental Quotient (DQ) was within the normal range in 70% of infants with normal scans or IVH I-II, while only 50% in case of IVH III and at 16.7% in IVH IV were normal. All cases with periventricular leucomalacia or poroencephaly had developmental or neuromotor impairment. This suggests, according with most literature, that infants with milder degrees of IVH differ little from preterm infants without hemorrhage; survivors with more severe grades of IVH or parenchimal lesions have poorer neurodevelopmental outcome.
Article PDF
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Dalla Barba, B., Stefani, D., Benini, F. et al. NEURODEVELOPMENTAL OUTCOME IN PRETERM INFANTS WITH CEREBRAL INTRAVENTRICULAR HEMORRHAGE. Pediatr Res 22, 230 (1987). https://doi.org/10.1203/00006450-198708000-00099
Issue Date:
DOI: https://doi.org/10.1203/00006450-198708000-00099