Elusive blood clots and fluctuating ventricular dilatation after neonatal intraventricular haemorrhage.
نویسندگان
چکیده
Two cases are described of a previously unrecognised sequel of posthaemorrhagic ventricular dilatation. The first case documents freely mobile blood clots within the lateral ventricular system, the second variable asymmetry in the size of the dilated lateral ventricle. The unilateral ventricular dilatation depended on which side the infant was lying, the dependent ventricle being considerably larger than the upper one within 4 hours of head turning. Each of these conditions spontaneously resolved with no specific treatment.
منابع مشابه
Posthaemorrhagic ventricular dilatation.
Posthaemorrhagic ventricular dilatation is the most serious direct complication of intraventricular haemorrhage after preterm birth. It results initially from multiple small blood clots throughout the cerebrospinal fluid channels impeding circulation and reabsorption. Management is difficult and new treatment approaches are needed.
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Posthaemorrhagic ventricular dilatation (PHVD) is thought to be due to clots from intraventricular haemorrhage obstructing cerebrospinal fluid pathways involved in reabsorption. Over 60% of infants with progressive PHVD have gone on to require surgical shunt placement. Previous treatments all have major problems. The object of this pilot study was to achieve enough fibrinolysis to restore pathw...
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AIM Phase I study to evaluate intraventricular fibrinolytic treatment with recombinant tissue plasminogen activator (tPA) as a method of clearing blood from the cerebrospinal fluid, and thus preventing permanent hydrocephalus. METHODS Twenty two preterm infants, aged 7 to 26 days, with progressive posthaemorrhagic ventricular dilatation (ventricular width > 4 mm over 97th centile) received on...
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Concentrations of cross linked fibrin degradation products were measured in the cerebrospinal fluid from five 'normal' preterm infants (median 102 ng/ml), four preterm infants with intraventricular haemorrhage (median 315 ng/ ml), and five infants with progressive posthaemorrhagic ventricular dilatation (median 1000 ng/ml). Serial samples of cerebrospinal fluid from one infant showed a peak con...
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Administration of antenatal corticosteroids to pregnant women with imminent delivery of a newborn at 24 to 34 weeks of gestation represents one of the most important advances in perinatal medicine in the past 25 years1,2. A single course of antenatal steroid has been associated with a decrease in acute neonatal systemic morbidity and mortality after preterm birth reducing the risk of respirator...
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عنوان ژورنال:
- Archives of disease in childhood
دوره 57 2 شماره
صفحات -
تاریخ انتشار 1982