There have been tremendous changes in the methods used to evaluate brain injury in the preterm infant in the past 30 years. In particular, major improvements have been made in how we use neuroimaging techniques and now magnetic resonance imaging (MRI) is used more often and considered complimentary to routine and sequential cranial ultrasound. The focus has shifted from severe lesions such as l...

OBJECTIVE To assess the incidence of periventricular/intraventricular hemorrhage (PIVH) in very low birth rate neonates. METHODS This was a prospective cohort study conducted on a sample of very low birth weight infants over a 15-year period. Neonates who did not undergo cerebral ultrasonography, had malformations affecting the central nervous system, or died within the first 24 hours of life...

Logistic regression is perhaps the most widely used method for adjustment of confounding in epidemiologic studies. Its popularity is understandable. The method can simultaneously adjust for confounders measured on different scales; it provides estimates that are clinically interpretable; and its estimates are valid in a variety of study designs with few underlying assumptions. To those of us in...

Chorioamnionitis as a major risk factor for spontaneous preterm birth, especially at earlier gestational ages, contributes to prematurity-associated mortality and morbidity. A gestation-independent effect of chorioamnionitis on neonatal outcome is much more difficult to assess. The influence of chorioamnionitis on neonatal outcome has become less evident with advances in neonatal care. A short-...

OBJECTIVE Neonatal care providers from 5 institutions formed a multidisciplinary focus group with the purpose of identifying potentially better practices, the implementation of which would lead to a reduction in the incidence of intracranial hemorrhage and periventricular leukomalacia in very low birth weight infants. METHODS Practices were analyzed, 4 benchmark neonatal intensive care units ...

Introduction Patent ductus arteriosus (PDA) is due to the failure of the ductus arteriosus to close after birth, and its incidence being inversely related to gestational age and birth weight (1,2). The incidence of PDA in term infants has been estimated to be 57 per 100 000 live births, whereas every third preterm infant with a birth weight of 501 to 1500 g can be expected to have a persistent ...

Drug prophylaxis with ethamsylate for periventricular haemorrhage in very low birthweight infants significantly reduced the incidence of periventricular haemorrhage in survivors. A reduction in abnormalities at follow up and in insertion of ventriculoperitoneal shunts was also noted.

Increased fibrinolytic activity in the ganglionic eminence of the preterm human brain has been proposed as a factor in the aetiology of periventricular haemorrhage. The effect of tranexamic acid in preventing periventricular haemorrhage was evaluated in 100 infants in a double blind, randomised controlled trial. Haemorrhages developed in 22 infants who received tranexamic acid and in 20 of thos...

PURPOSE We have previously shown that an imaging marker, increased periventricular [(11)C]flumazenil ([(11)C]FMZ) binding, is associated with failure to become seizure free (SF) after surgery for temporal lobe epilepsy (TLE) with hippocampal sclerosis (HS). Here, we investigated whether increased preoperative periventricular white matter (WM) signal can be detected on clinical [(18)F]FDG-PET im...