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Neuropathologic Findings in Short-term Survivors of Intraventricular Hemorrhage
Dawna L. Armstrong, MD;
C. Dan Sauls, MD;
Jan Goddard-Finegold, MD
Am J Dis Child. 1987;141(6):617-621.
Abstract
•Intraventricular hemorrhage (IVH) occurs in 31% to 43% of infants weighing less than 1500g. Intraventricular hemorrhage is rarely an Isolated lesion at autopsy. To document associated cerebral abnormality, 24 brains of infants with a diagnosis of IVH and who survived for at least one week were examined. The diagnosis was verified in 20 infants. Choroid plexus hemorrhage and brain calcification had been misdiagnosed as IVH in two infants and in two other infants, IVH was not evident at autopsy. Eleven Infants (46%) had choroid plexus hemorrhage. Twenty-two infants (92%) had additional cerebral abnormalities: periventricular leukomalacia, brainstem necrosis, hydrocephalus, or cerebellar necrosis. This study demonstrates that IVH is rarely an isolated abnormality in the preterm Infant brain. The associated brain lesions should be considered in attempts to prevent or treat IVH and their presence should be suspected during clinical assessment of survivors.
(AJDC 1987;141:617-621)
Author Affiliations
From the Departments of Pathology (Drs Armstrong and Goddard-Finegold) and Pediatrics (Dr Goddard-Finegold), Baylor College of Medicine and Texas Children's Hospital, and the Department of Pathology, the Women's Hospital of Texas (DrSauls), Houston.
Footnotes
Accepted for publication Aug 7, 1986.
Read in part before the Second Ross Conference on Perinatal Intracranial Hemorrhage, Washington, DC, Dec 2-4, 1982.
Reprint requests to Department of Pathology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030 (Dr Armstrong).
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