Published in:
01-12-2016 | Commentary
Intraventricular Hemorrhage: the Role of Blood Components in Secondary Injury and Hydrocephalus
Authors:
Thomas Garton, Richard F. Keep, D. Andrew Wilkinson, Jennifer M. Strahle, Ya Hua, Hugh J. L. Garton, Guohua Xi
Published in:
Translational Stroke Research
|
Issue 6/2016
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Excerpt
Intraventricular hemorrhage (IVH) is characterized by an influx of blood into the ventricles of the brain. It has a highly morbid prognosis and develops in more than 12,000 premature infants every year in the USA [
1,
2]. Within the last two decades, about 31 % of successfully resuscitated very preterm infants—born prior to 30-week gestational age—experienced IVH, one third of which were of grade 3 or 4 severity [
3]. Furthermore, the incidence of severe IVH has increased over the last 20 years. In addition to the severe neurological deficits associated with the disease, high-grade IVH can lead to post-hemorrhagic hydrocephalus (PHH), with 48 % of patients sustaining grades 3 and 4 IVH developing PHH. When combined, IVH-PHH is a dauntingly critical condition, and one whose pathology is not completely understood. …