ABSTRACT
Therapeutic advances in neonatology cause fewer hypoxic conditions. In relation with this we observe fewer high grade brain haemorrhages. Therefore, ischemical brain changes through brain oedema (12%) and resulting colliquation necroses become the focal point of diagnostic and therapeutic work. 7.3% of intensively treated neonates showed the sonographic picture of a periventricular leucomalacy (PVL). The polycystic areas can be seen on the eight day after birth at the earliest and at six months they turn into a glia scar which is not very obvious on the sonograph. We found a relation between beta-mimetic tocolysis, hypocapnia and the development of a PVL. We were not able to prove statistically a connection with premature birth.
Subject(s)
Echoencephalography , Leukomalacia, Periventricular/diagnostic imaging , Birth Weight , Carbon Dioxide/blood , Female , Gestational Age , Humans , Infant, Newborn , Leukomalacia, Periventricular/etiology , Male , Pregnancy , Risk Factors , TocolysisABSTRACT
Under the term minimal cerebral haemorrhage we understand subependymal haemorrhages which occur as a consequence of ruptures in the capillaries in the stratum germinativum. They occur exclusively in newborn babies after the 36th week of pregnancy. In premature babies born up to or after 32 weeks we found these haemorrhages to a degree of 45% in cases where there was also more haemorrhage. We did not discover any neurological abnormalities in the development after birth as a result of isolated subependymal haemorrhage. This makes the question of how and in how much detail the parents should be informed about the findings more acute. On questioning the relatives it was found that they had undergone some uncertainty and psychological strain after being informed about the findings.
Subject(s)
Cerebellar Diseases/physiopathology , Cerebral Hemorrhage/physiopathology , Infant, Premature, Diseases/physiopathology , Capillaries , Cerebellum/blood supply , Gestational Age , Humans , Infant, Newborn , Rupture, SpontaneousABSTRACT
Radiological and morphological findings in the bones in the limbs of a one-and-a-half-month-old infant led us to suspect syphilis connata praecox. In this child typical bone changes were present which are otherwise only rarely detected nowadays. The serological findings could not be clearly interpreted. The necessity of therapy is discussed.
