Document Detail


Evaluation of intraventricular hemorrhage in pediatric intracerebral hemorrhage.
MedLine Citation:
PMID:  22068828     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Previous studies of pediatric intracerebral hemorrhage have investigated isolated intraparenchymal hemorrhage. The authors investigated whether detailed assessment of intraventricular hemorrhage enhanced outcome prediction after intracerebral hemorrhage. They prospectively enrolled 46 children, full-term to 17 years, median age 2.7 years, with spontaneous intraparenchymal hemorrhage and/or intraventricular hemorrhage. Outcome was assessed with the King's Outcome Scale for Childhood Head Injury. Twenty-six (57%) had intraparenchymal hemorrhage, 10 (22%) had pure intraventricular hemorrhage, and 10 (22%) had both. There were 2 deaths, both with intraparenchymal hemorrhage and intraventricular hemorrhage volume ≥4% of total brain volume. Presence of intraventricular hemorrhage was not associated with poor outcome, but hydrocephalus showed a trend (P = .09) toward poor outcome. In receiver operating characteristic curve analysis, combined intraparenchymal hemorrhage and intraventricular hemorrhage volume also showed a trend toward better outcome prediction than intraparenchymal hemorrhage volume alone. Although not an independent outcome predictor, future studies should assess intraventricular hemorrhage qualitatively and quantitatively.
Authors:
Jonathan T Kleinman; Lauren A Beslow; Kyle Engelmann; Sabrina E Smith; Daniel J Licht; Rebecca N Ichord; Lori C Jordan
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-11-08
Journal Detail:
Title:  Journal of child neurology     Volume:  27     ISSN:  1708-8283     ISO Abbreviation:  J. Child Neurol.     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-04-02     Completed Date:  2012-08-01     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  526-31     Citation Subset:  IM    
Affiliation:
Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Cerebral Hemorrhage / diagnosis*,  radiography
Cerebral Ventricles / abnormalities,  pathology*,  physiopathology*
Cerebral Ventriculography*
Child
Child, Preschool
Female
Humans
Infant
Male
Outcome Assessment (Health Care)
Prognosis
Tomography, X-Ray Computed
Grant Support
ID/Acronym/Agency:
K12-NS049453/NS/NINDS NIH HHS; K23 NS062110/NS/NINDS NIH HHS; K23-NS052380/NS/NINDS NIH HHS; K23-NS062110/NS/NINDS NIH HHS; R01-NS050488/NS/NINDS NIH HHS; T32 NS007413/NS/NINDS NIH HHS; T32-NS007413/NS/NINDS NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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