Document Detail

Ventricular dilation after neonatal periventricular-intraventricular hemorrhage. Natural history and therapeutic implications.
MedLine Citation:
PMID:  7091085     Owner:  NLM     Status:  MEDLINE    
Infants with periventricular-intraventricular hemorrhage (PV-IVH) were followed up with weekly ultrasound sector scans to define the natural history of late ventricular dilation (ie, dilation in excess of that seen at the time of diagnosis of PV-IVH). Infants fell into two groups: (1) posthemorrhagic hydrocephalus (PHH), dilation that produced an increase in occipitofrontal circumference greater than 2 cm per week and/or clinical symptoms of increased intracranial pressure; and (2) ventriculomegaly (VM), dilation that stabilized or reversed without producing these effects. The former was directly related to the severity of hemorrhage. The diameter of the lateral ventricle was significantly greater in PHH. In 26 of 48 infants at risk, late dilation developed: 14 had VM and 12 had PHH. Thus, late ventricular dilation stabilized or resolved spontaneously in 54%. Only three infants eventually required a ventriculoperitoneal shunt. Clinical changes in addition to ventricular size should be used in assessing the need for treatment of ventricular dilation after PV-IVH.
W C Allan; P J Holt; L R Sawyer; A M Tito; S K Meade
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  136     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1982 Jul 
Date Detail:
Created Date:  1982-08-26     Completed Date:  1982-08-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  589-93     Citation Subset:  AIM; IM    
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MeSH Terms
Cerebral Hemorrhage / complications*
Cerebral Ventricles / pathology*,  physiopathology,  surgery
Dilatation, Pathologic
Hydrocephalus / etiology,  surgery
Infant, Newborn
Infant, Premature, Diseases / complications*
Intracranial Pressure
Spinal Puncture

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