Document Detail


The clinical presentation of preterm cerebellar haemorrhage.
MedLine Citation:
PMID:  20480179     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The objective of this study was to evaluate clinical symptoms and findings on cranial ultrasound (CUS) in preterm infants with cerebellar haemorrhage through retrospective analysis of all preterm infants with a postnatal CUS or MRI diagnosis of cerebellar haemorrhage admitted in a tertiary care centre between January 2002 and June 2009. Fifteen infants were identified; median gestational age was 25 2/7 weeks and median birth weight 730 g. We discerned six types of haemorrhage: subarachnoid (n = 3), folial (n = 1), lobar (n = 9, of which 4 bilateral), giant lobar (n = 1, including vermis) and contusional (n = 1). Especially in infants with lobar cerebellar haemorrhage, CUS showed preceding or concurrent lateral ventricle dilatation, mostly without intraventricular haemorrhage (IVH). Thirteen infants suffered from notable, otherwise unexplained motor agitation in the days preceding the diagnosis. In conclusion, motor agitation may be a presenting symptom of cerebellar haemorrhage in preterm infants. Unexplained ventriculomegaly can be a first sign of cerebellar haemorrhage and should instigate sonographic exploration of the cerebellum.
Authors:
Ginette M Ecury-Goossen; Jeroen Dudink; Maarten Lequin; Monique Feijen-Roon; Sandra Horsch; Paul Govaert
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Publication Detail:
Type:  Journal Article     Date:  2010-05-18
Journal Detail:
Title:  European journal of pediatrics     Volume:  169     ISSN:  1432-1076     ISO Abbreviation:  Eur. J. Pediatr.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-08-24     Completed Date:  2010-12-23     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  7603873     Medline TA:  Eur J Pediatr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1249-53     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, Division of Neonatology, Erasmus MC-Sophia Children's Hospital, Rotterdam, The Netherlands. ginetje@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Cerebellar Diseases / ultrasonography*
Female
Gestational Age
Humans
Infant, Newborn
Infant, Premature
Intracranial Hemorrhages / ultrasonography*
Male
Retrospective Studies
Risk Factors
Comments/Corrections

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