1 From the University Health Center of Pittsburgh, Magee Women's Hospital/Children's Hospital of Pittsburgh, and Presbyterian Hospital, Pittsburgh
Supratentorial intracerebral hemorrhage was diagnosed in 18 full-term neonates, including six with primarily intraparenchymal hemorrhage and 12 with primarily intraventricular hemorrhage. Precipitating or associated factors were hypoxic-ischemic injury in five patients, polycythemia in two, and cranial birth trauma in two. Nine other infants had no identifiable medical risk events. The pathogenesis of intraparenchymal hemorrhage was probably related to hemorrhagic infarction, but the pathogenesis of intraventricular hemorrhage was often unknown. All 17 survivors returned for neurologic and developmental examinations between 1 and 7 years of age. Follow-up assessments were normal in nine children and abnormal in eight. Two had perceptual difficulties, three had moderate-to-severe cognitive deficiencies (two of the three had hemiplegia), and three had severe mental and neurologic handicaps. Eight of nine children with known or suspected hypoxic-ischemic or traumatic insults suffered moderate-to-severe disabilities whereas eight of nine children with no known precipitating cause for their hemorrhage developed normally.
Key Words: cerebral hemorrhage intraventricular hemorrhage neonatal injury
Submitted on February 14, 1984
Accepted on May 2, 1984
This article has been cited by other articles:
![]() |
E. S. Roach, M. R. Golomb, R. Adams, J. Biller, S. Daniels, G. deVeber, D. Ferriero, B. V. Jones, F. J. Kirkham, R. M. Scott, et al. Management of Stroke in Infants and Children: A Scientific Statement From a Special Writing Group of the American Heart Association Stroke Council and the Council on Cardiovascular Disease in the Young Stroke, September 1, 2008; 39(9): 2644 - 2691. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. B. Looney, J. K. Smith, L. H. Merck, H. M. Wolfe, N. C. Chescheir, R. M. Hamer, and J. H. Gilmore Intracranial Hemorrhage in Asymptomatic Neonates: Prevalence on MR Images and Relationship to Obstetric and Neonatal Risk Factors Radiology, December 19, 2006; (2006) 2422060133. [Abstract] [Full Text] |
||||
![]() |
A. H. Huang and R. L. Robertson Spontaneous Superficial Parenchymal and Leptomeningeal Hemorrhage in Term Neonates AJNR Am. J. Neuroradiol., March 1, 2004; 25(3): 469 - 475. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. G. Oelberg, D. M. Temple, K. S. Haskins, R. H. Bigelow, and E. W. Adcock Intracranial Hemorrhage in Term or Near-term Newborns With Persistent Pulmonary Hypertension Clinical Pediatrics, January 1, 1988; 27(1): 14 - 17. [Abstract] [PDF] |
||||