All issues > Volume 36(1); 1993

Original Article

J Korean Pediatr Soc. 1993;36(1):57-66. Published online January 15, 1993.

Neurosonographic Diagnosis of Periventricular-Intaventricular Hemorrhage in Low Birth Weiht Infants

Hee Seok HS Koh¹, Dong Kyun DK Ryu¹, Young Tack YT Jang¹, Oh Kyung OK Lee¹, Jin Ok JO Choi²

¹Department of Pediatrics, Presbyterian Medical Center, Chon Ju, Korea
²Department of Radiology, Presbyterian Medical Center, Chon Ju, Korea

Abstract

Periventricular-intraventricular hemorrhage (PV-IVH) is one of the most important neurologic lesion of the low birth weight infants. Serial neurosonographic examinations were performed in 113 low birth weight infants who were admitted to the neonatal internsive care unit of Presbyterian Medical Center from November 1, 1990 to July 31, 1991. The results were summarized as follows: 1) The incidence of PV-IVH in he study was 54% 2) According to Papile's grading system of PV-IVH, grade I was 32.8%, grade II was 45.9%, grade III was 11.5% and grade IV was 9.8% 3) The onset of PV-IVH was within the first 7 days of life in 82% 4) Poor activity, apnea, bradycardia and hypotension were statistically significant clinical findings associated with PV-IVH (P<0.05) 5) The risk factors associated with PV-IVH were gestational age, birth weight, hyaline membrance disease, patent ductus arteriosus and artifical ventilation. 6) The mortality of PV-IVH was 0% for grade I, 10.7% for grade II, 42.9% for grade III and 83.3% for grade IV.

Keywords :Periventricular-intraventricular hemorrhage, Low birth weight infants