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Child's Nervous System
Published in: Child's Nervous System 12/2016

Open Access 01-12-2016 | Case Report

The incidence of severe intraventricular hemorrhage based on retrospective analysis of 35939 full-term newborns—report of two cases and review of literature

Authors: Dawid Szpecht, Dagmara Frydryszak, Norbert Miszczyk, Marta Szymankiewicz, Janusz Gadzinowski

Published in: Child's Nervous System | Issue 12/2016

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Abstract

Introduction

Intraventricular hemorrhage (IVH) is mostly documented in premature infants, and the younger the gestational age, the more often it occurs. IVH is very rarely reported in full-term neonates.

Case report

Retrospective analysis was performed in 35939 full-term neonates, who were born in the Clinical Hospital of Gynecology and Obstetrics at the University of Medical Sciences in Poznań. Clinical data were retrieved from their medical records. We report a case series of 2 term newborns, who developed severe IVH grade 3 and 4 with no evidence of asphyxia, neuroinfection, TORCH infections, coagulation disorders and trombocytopenia, metabolic disorders, arteriovenous malformations, and selected genetic abnormalities (factor V Leiden 1601G > A polymorphism and MTHFR 677C > T; 1298A > C polymorphisms). IVH in both cases was complicated by posthemorrhagic hydrocephalus treated with decompressive lumbar punctures and next ventriculoperitoneal shunt placement.

Conclusions

In conclusion, several factors influence the predisposition for severe IVH in term neonates. Perinatal period complicated by fetal distress, birth trauma, and severe asphyxia should be taken into account. However, it is possible that etiopathogenesis cannot be defined clearly as in our cases. Cranial ultrasounds in a specific group of term newborns (taking into account risk factors for IVH) should be widely recommended.
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Metadata
Title
The incidence of severe intraventricular hemorrhage based on retrospective analysis of 35939 full-term newborns—report of two cases and review of literature
Authors
Dawid Szpecht
Dagmara Frydryszak
Norbert Miszczyk
Marta Szymankiewicz
Janusz Gadzinowski
Publication date
01-12-2016
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 12/2016
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3164-5

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