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Neonatal intraventricular hemorrhage: a serial computed tomography study.

B C Lee, A E Grassi, S Schechner

    Journal of Computer Assisted Tomography
    |August 1, 1979
    PubMed
    Summary
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    Computed tomography (CT) scans frequently detected intracranial hemorrhage in premature infants requiring ventilation within 48 hours of birth. CT findings poorly correlated with clinical signs, and hemorrhage led to significant mortality and morbidity.

    Area of Science:

    • Neonatal Medicine
    • Radiology
    • Pediatric Neurology

    Background:

    • Premature infants weighing less than 1,500 g are at high risk for intracranial hemorrhage.
    • Assisted ventilation is a common intervention for these vulnerable infants.
    • Early detection of intracranial hemorrhage is crucial for management.

    Purpose of the Study:

    • To evaluate the utility of computed tomography (CT) in detecting intracranial hemorrhage in very low birth weight infants.
    • To assess the incidence and timing of hemorrhage development.
    • To correlate CT findings with clinical outcomes.

    Main Methods:

    • Thirty infants weighing <1,500 g requiring assisted ventilation underwent serial CT scans.
    • Scans were performed shortly after birth and at regular intervals.

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  • Clinical data and outcomes were recorded.

    • Main Results:

    • Hemorrhage was frequently detected within 48 hours of birth.
    • Two infants developed intraventricular hemorrhage after initially normal scans.
    • Six deaths were directly attributed to intracranial hemorrhage; hydrocephalus and atrophy were observed in survivors.

    Conclusions:

    • CT scans are valuable for detecting intracranial hemorrhage in high-risk neonates.
    • Early hemorrhage is common, but delayed onset can occur.
    • Correlation between CT findings and clinical presentation was poor, highlighting the need for vigilant monitoring.