Ultrasonically detectable cerebellar haemorrhage in preterm infants

• DOI: 10.1136/adc.2010.183889
• Publication Date: 2011-01-21T01:40:57Z
• Authors: L. K. McCarthy; V. Donoghue; J. F. A. Murphy
• Keywords: Male; Infant, Newborn; Gestational Age; Infant, Premature, Diseases; Infant, Low Birth Weight; Prognosis; 3. Good health; 03 medical and health sciences; Sex Factors; 0302 clinical medicine; Case-Control Studies; Intensive Care Units, Neonatal; Birth Weight; Humans; Female; Prospective Studies; Infant, Premature; Cerebral Hemorrhage; Ultrasonography

To determine the frequency and pattern of cerebellar haemorrhage (CBH) on routine cranial ultrasound (cUS) imaging in infants ≤32 weeks gestation, to investigate how extremely preterm with CBH differ from those severe intraventricular (IVH).672 gestation were prospectively examined for serial cUS imaging. In a separate case--control analysis, clinical features, findings outcome compared isolated IVH (grade III-IV).Nine cases identified among 53 IVH. The incidence was 1.3%. Five had bilateral involving both hemispheres, three unilateral left sided one right hemispheric lesion. Infants male, significantly more (24.4 vs 27.0 weeks) lower birth weight (692 g 979 g). Vaginal births predominated group (89% 50%). median time identification groups 3 days. Mortality 100% (9/9) 43% (19/44) group.Extensive is rare devastating. It appears be confined very preterm, low birthweight may have male predominance. co-existence extensive cot-side early neonatal period an ominous finding.