Intracranial Hemorrhage in Late Hemorrhagic Disease of the Newborn: Brain Computed Tomographic Findings / 대한소아신경학회지
Journal of the Korean Child Neurology Society
;
(4): 228-236, 1999.
Article
in Korean
| WPRIM
| ID: wpr-185449
ABSTRACT
PURPOSE:
This study is to evaluate the Brain CT manifestations of late hemorrhagic disease of the newborn.METHODS:
We evaluated 13 cases with late hemorrhagic disease of the newborn, for whom brain CT scans were performed. Clinical indications for brain CT scan were mental changes(n=5), vomiting(n=2), irritability(n=2), seizure(n=3), and lethargy(n=1). We analyzed the result of the brain CT findings with attention to anatomic locations of hemorrhage and characteristics of hemorrhagic manifestations.RESULTS:
Only one patient in 13 patients was normal on brain CT scan, and 12 patients showed hemorrhagic lesions. Among 12 patients, 5 cases had single hemorrhagic lesion(3 subdural hemorrhages and 2 intracerebral hemorrhages, and 7 cases had multiple lesions, in which subdural hemorrhage and subarachnoid hemorrhage were common respectively. The other common brain CT findings except hemorrhagic lesion were the mass effects with ventricle compression(n=11), midline shifting(n=6), ventricular dilatation(n=7), and fluid-fluid levels in hemorrhagic lesion(n=9).CONCLUSION:
The common intracranial hemorrhages of late hemorrhagic disease of the newborn were subdural and subarachnoid hemorrhages. The associated CT findings were mass effect and fluid-fluid levels. Intracranial hemorrhage in late hemorrhagic disease of newborn could massively occurr. Thus brain CT scan should be done if any symptom for neurologic abnormality was present.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Subarachnoid Hemorrhage
/
Brain
/
Tomography, X-Ray Computed
/
Cerebral Hemorrhage
/
Intracranial Hemorrhages
/
Hematoma, Subdural
/
Hemorrhage
/
Vitamin K Deficiency Bleeding
Type of study:
Diagnostic study
Limits:
Humans
/
Infant, Newborn
Language:
Korean
Journal:
Journal of the Korean Child Neurology Society
Year:
1999
Type:
Article
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