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The incidence of severe intraventricular hemorrhage based on retrospective analysis of 35939 full-term newborns-report of two cases and review of literature.

Authors :
Szpecht D
Frydryszak D
Miszczyk N
Szymankiewicz M
Gadzinowski J
Source :
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2016 Dec; Vol. 32 (12), pp. 2447-2451. Date of Electronic Publication: 2016 Jul 08.
Publication Year :
2016

Abstract

Introduction: Intraventricular hemorrhage (IVH) is mostly documented in premature infants, and the younger the gestational age, the more often it occurs. IVH is very rarely reported in full-term neonates.<br />Case Report: Retrospective analysis was performed in 35939 full-term neonates, who were born in the Clinical Hospital of Gynecology and Obstetrics at the University of Medical Sciences in Poznań. Clinical data were retrieved from their medical records. We report a case series of 2 term newborns, who developed severe IVH grade 3 and 4 with no evidence of asphyxia, neuroinfection, TORCH infections, coagulation disorders and trombocytopenia, metabolic disorders, arteriovenous malformations, and selected genetic abnormalities (factor V Leiden 1601G > A polymorphism and MTHFR 677C > T; 1298A > C polymorphisms). IVH in both cases was complicated by posthemorrhagic hydrocephalus treated with decompressive lumbar punctures and next ventriculoperitoneal shunt placement.<br />Conclusions: In conclusion, several factors influence the predisposition for severe IVH in term neonates. Perinatal period complicated by fetal distress, birth trauma, and severe asphyxia should be taken into account. However, it is possible that etiopathogenesis cannot be defined clearly as in our cases. Cranial ultrasounds in a specific group of term newborns (taking into account risk factors for IVH) should be widely recommended.<br />Competing Interests: None.

Details

Language :
English
ISSN :
1433-0350
Volume :
32
Issue :
12
Database :
MEDLINE
Journal :
Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
Publication Type :
Academic Journal
Accession number :
27392444
Full Text :
https://doi.org/10.1007/s00381-016-3164-5