Abstract
From Feb.1981 to Dec.1985 (4 years 10 months), 2400 neonates were admitted to Port-Royal NICU, 1/3 being ≤1500g. Ultrasound scanning detected 392 PV-IVH, of which 130 were major H. (from unilateral grade III to bilateral grade IV H.). Survival rate was 65% in unilateral III H., 33% in bilateral III H., 32% in unilateral IV H., 1/13 bilateral IV H. The 46 survivors with major PV-IVH were followed for over 1 year in 39 cases (3 were lost at 3 mths and 4 are under 1 year as of writing), up to 5 years. Among 14 unilateral III H., 2 infants were lost, 1 is < 1 y., 9 were normal, 2 had minor anomalies. Among 17 bilateral III H., .1 is < 1 y., 6 were strictly normal, 4 had minor anomalies, 2 had a moderate impairment, 4 had severe handicaps. Among 14 unilateral IV H., 1 infant was lost, 2 are < 1 y., 6 were strictly normal, 1 had minor anomalies, 3 had a moderate impairment, 1 had a severe handicap. The only survivor with bilateral IV H. was severely handicapped by 4 years of age. The overall summary in 39 cases with accurate data over 1 year totals 21 strictly normal infants, 7 with minor anomalies, 5 with moderate and 6 with severe sequelae. The results will be up-dated and completed at Congress' date.
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Monset-Couchard, M., De Bethmann, O. & Relier, J. 113 MID-TERM OUTCOME IN 46 SURVIVORS WITH MAJOR PERI-INTRAVENTRICULAR HEMORRHAGE (PV-IVH). Pediatr Res 20, 1052 (1986). https://doi.org/10.1203/00006450-198610000-00167
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DOI: https://doi.org/10.1203/00006450-198610000-00167