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Prevalence of neonatal ultrasound brain lesions in premature infants with and without intrauterine growth restriction

Aim: To compare the prevalence of transient periventricular echodensities (TPE), periventricular leukomalacia (PVL) and haemorrhagic brain lesions (HBL) in singleton intrauterine growth‐restricted (IUGR) infants and in those appropriate for gestational age (AGA). Methods: Thirty‐five IUGR and 35 AGA...

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Published in:Acta Paediatrica 2007-11, Vol.96 (11), p.1582-1587
Main Authors: Padilla-Gomes, Nelly F, Enríquez, Goya, Acosta-Rojas, Ruthy, Perapoch, Josep, Hernandez-Andrade, Edgar, Gratacos, Eduard
Format: Article
Language:English
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Summary:Aim: To compare the prevalence of transient periventricular echodensities (TPE), periventricular leukomalacia (PVL) and haemorrhagic brain lesions (HBL) in singleton intrauterine growth‐restricted (IUGR) infants and in those appropriate for gestational age (AGA). Methods: Thirty‐five IUGR and 35 AGA singleton infants born between 24‐ and 34‐week gestational age were studied. The presence of TPE, PVL and HBL was assessed with ultrasound (US) at day 3 (US‐I), 2 weeks (US‐II) after delivery and at term‐equivalent age (US‐III). Results: IUGR neonates had an increased prevalence of TPE at US‐I (18/35 vs. 8/35, p= 0.02) and an increased prevalence of PVL at US‐II (8/32 vs. 1/31, p = 0.03) and US‐III (8/29 vs. 1/29, p = 0.02). No significant differences in the prevalence of HBL were found between the two groups. Conclusions: IUGR is associated with an increased prevalence of white matter damage on US brain scans in preterm neonates.
ISSN:0803-5253
1651-2227
DOI:10.1111/j.1651-2227.2007.00496.x