Ultrasonic findings of intracranial hemorrhage in preterm neonates

• Published in: Arquivos de neuro-psiquiatria 2005-09, Vol.63 (3B), p.814-816
• Main Authors: Farage, Luciano, Assis, Marcelo Cardoso de
• Format: Article
• Language: eng ; por
• Subjects: Birth Weight; Chi-Square Distribution; Female; Gestational Age; Humans; Infant, Newborn; Infant, Premature; Intracranial Hemorrhages - classification; Intracranial Hemorrhages - diagnostic imaging; Magnetic Resonance Spectroscopy; Male; Prospective Studies; Ultrasonography
• ISSN: 0004-282X
• DOI: 10.1590/S0004-282X2005000500017

Intracranial hemorrhage ICH is one of the most common neurological events in pre-term newborn ICH is associated with low birth weight (< 1500 g) and gestational age (GA) at delivery (< 32 weeks). The most common site affected is the germinal matrix. Papile et al. classifies it at four grades. We analyzed, prospectively, 50 newborns (27 boys) with ultrasound diagnostic of ICH; all of them were pre-term (GA < 37 weeks). They were classified according to sex, gestational age, birth weight and degree of ICH. The children were divided into two groups: A--GA < or = 33 weeks and B--34-37 weeks. In group A there were 34 children (25 boys) with mean GA of 31 weeks and birth weights average of 1308 g. In group B there were 16 children (2 boys), mean GA 34 weeks and birth weight average of 1951 g. The grades of ICH were: Group A--I-14, II-14, III-4 and IV-2; Group B--I-12, II-3 and III-1. The complications were more common in group A with 12 than group B with 4 children. The lesions happen in greatest number and most severity in children with low birth weight and younger (low gestational age). Ultrasound has shown to be effective for diagnostic and follow up of those children.