Neurosonographic evaluation and follow-up study of GMH/IVH in infants with less than 2500mg
Journal of the Korean Radiological Society
;
: 1306-1312, 1993.
Article
in Korean
| WPRIM
| ID: wpr-209945
ABSTRACT
GMH/IVH(Germinal martrix-Intraventricular hemorrhage ) is an inportant factor that influences on the mortality rate of low-birth-weight infants. The real-time high resolution sonography with a mechanical sector scanner is a convenient and useful method for the detection and follow-up study of intracranial hemorrhage in low-birth-weight infants. Authors analysed 112 cases of neurosonographic findings in low-birth-weight infants, weighing less than 2,500gm. The incidence of GMH/IVH was 54.5%. The severity of GMH/IVH was classified into 4 grades(I-IV) and their percentages were 41%, 41% 8.1%, and 9.9%, respectively. The onset of GMH/IVH was within the first week after birth in 75.4% of cases. The overall mortality rate of low-birth-weight infants with GMH/IVH was 18% (4% for grade I, 12% for grade II, 40% for grade III and 83% for grade IV). In the follow-up study of 61 cases, complete absorption was seen in 25 cases, rebleeding in 5 cases, cystic change in 24 cases, ventriculomegaly in 9 cases and hydrocephalus in 7 cases. The incidence of GMH/IVH in neonates with pathologic lung conditions was 82.5% and that with normal lung conditions was 39%. In conclusion, sonography is very useful in the diagnosis and follow-up of GMH/IVH in low-birth-weight infants. Our study is the first step in the further study of the relationship between GMH/IVH and neuromotor outcome.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Infant, Low Birth Weight
/
Incidence
/
Follow-Up Studies
/
Mortality
/
Intracranial Hemorrhages
/
Parturition
/
Diagnosis
/
Absorption
/
Hemorrhage
/
Hydrocephalus
Type of study:
Diagnostic study
/
Incidence study
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Observational study
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Prognostic study
Limits:
Humans
/
Infant
/
Infant, Newborn
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
1993
Type:
Article
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