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Clinical Features and Risk Factors of Perinatal Hemorrhagic Stroke / 대한주산의학회잡지
Korean Journal of Perinatology ; : 356-361, 2010.
Artigo em Coreano | WPRIM | ID: wpr-37912
ABSTRACT

OBJECTIVE:

Perinatal hemorrhagic stroke (PHS) is common cause of cerebral palsy, congenital hemiparesis, and subsequent behavioral, cognitive, and language problems. Despite of this importance, risk factors for this condition have not been studied. This study was undertaken to survey the clinical features and risk factors of PHS.

METHODS:

A retrospective study was carried out on 24 newborns with PHS who were admitted to the neonatal intensive care unit (NICU) of Daegu Fatima hospital from January 2004 to July 2009. Cases of PHS in neonates (28 weeks' gestational age through 28 days of life) were identified through neuroimaging studies, clinical findings and chart review. Two controls per case were randomly selected. Risk factors of PHS were assessed and clinical features of PHS were reviewed.

RESULTS:

We identified 24 cases of PHS (19 intracerebral hemorrhage, 4 intracerebral hemorrhage with subarachnoid hemorrhage, 1 subarachnoid hemorrhage). PHS was more common in male (15 males and 9 females). Case presented with encephalopathy (100%), seizures (20.8%) and cyanosis (4.2%). The neuroimaging findings of PHS were more commonly unilateral (78.3%), and right-hemisphere (73.9%). PHS was most often seen in temporal lobe (38.2%). There were no statistical and significant risk factors of PHS.

CONCLUSIONS:

Newborns with PHS typically present with encephalopathy (lethargy, hypotonia, apnea, feeding disability) and seizures. The neuroimaging findings were more commonly unifocal, unilateral and seen in temporal lobe. Additional prospective studies are needed to determine the prevalence and risk factors of PHS.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Paresia / Apneia / Convulsões / Hemorragia Subaracnóidea / Lobo Temporal / Terapia Intensiva Neonatal / Hemorragia Cerebral / Paralisia Cerebral / Prevalência / Estudos Retrospectivos Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo de prevalência / Estudo prognóstico / Fatores de risco Limite: Humanos / Masculino / Recém-Nascido Idioma: Coreano Revista: Korean Journal of Perinatology Ano de publicação: 2010 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Paresia / Apneia / Convulsões / Hemorragia Subaracnóidea / Lobo Temporal / Terapia Intensiva Neonatal / Hemorragia Cerebral / Paralisia Cerebral / Prevalência / Estudos Retrospectivos Tipo de estudo: Estudo de etiologia / Estudo observacional / Estudo de prevalência / Estudo prognóstico / Fatores de risco Limite: Humanos / Masculino / Recém-Nascido Idioma: Coreano Revista: Korean Journal of Perinatology Ano de publicação: 2010 Tipo de documento: Artigo