All issues > Volume 38(6); 1995

Original Article

J Korean Pediatr Soc. 1995;38(6):752-759. Published online June 15, 1995.

Intracraial Hemorrhage in Premature and Low Birth Weight Infants by Craniosonography

Seung Hee SH Choi¹, Jae Ock JO Park¹, Sang Man SM Shin¹, Sang Jhoo SJ Lee¹

¹Department of Pediatrics, College of Medicine, Soon Chun Hyang University, Seoul, Korea

Abstract

Purpose
: Intrabventricular hemorrhage is a common neuropathologic finding in premature and low birth weight infants. It is deeply related with neonatal death and neurologic sequelae. We want to know the incidence and the relating factors of intracranial hemorrhage in premature and low birth weight infants.
Methods
: We performed craniosonography in 170 premature and low birth weight infants in 3-7 days of life and 1-2 weeks interval after initial examination with 5MHz realtime sector scanner.
Results
: 1) Among 170 neonates, intracranial hemorrhage was detected in 58 neonates. 2) Among 58 neonates, 22(37.9%) were male and 36(62.1%) were female. 3) The incidence of intracranial hemorrhage was high in the group below the 34 weeks of intrauterine period (63.8%) and below the 34 weeks of intrauterine period(63.8%) and below 1,000gm (80%) of birth weight. 4) The grade I hemorrhage was most common(79.3%). 5) The most common site of hemorrhage was caudothalamic notch(73.9%). 6) The incidence of hemorrhage was not related to delivery type. 7) Conditions associated with intracranial hemorrhage were respiratory distress syndrome, anemia, ventilator care and oxygen therapy.
Conclusion
: It is necessary to perform craniosonography to detect the intracranial hemorrhage in premature and low birth weight infants. Knowing the presence of intracranial hemorrhage, we can save the neonate through early appropriate teratment.

Keywords :Intracranial hemorrhage, Craniosongraphy