All issues > Volume 34(1); 1991

Original Article

J Korean Pediatr Soc. 1991;34(1):49-56. Published online January 31, 1991.

Intracranial hemorrhage in the prematurity and small for gestational age an attempt of clinico-ultrasonographic correlation.

Kwang Sup Kim¹, You Seop Shin¹, Jong Wan Kim¹, Kwang Nam Kim¹, Ki Yang Ryoo¹, Hyo Keun Lim²

¹Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
²Department of Radiology, College of Medicine, Hallym University, Seoul, Korea

Received: August 2, 1990;  Accepted: October 5, 1990.

Abstract

To evaluate the correlation between clinical and ultrasonographic findings, 79 consecutive brain ultrasonographic examinations were performed in the 50 prematurity and 29 SGA. Statistical significance was not detected about sex ratio, hemoglobin and hematocrit, Apgar score and maternal age between the prematurity and SGA. Incidence of ICH was 66% in the prematurity and 48% in the SGA. According to Papile’s grading system, Grade 1 was 56% (28/50), Grade 2 was 2% (1/50), Grade 3 was 8% (4/50) in the prematurity and 48% (14/29) showed Grade 1 hemorrhage in the SGA. Intra- cranial hemorrhage was detected within 7 days after birth about 95% in the prematurity and SGA. Statistical significance was observed between mode of delivery and ICH in the SGA. ICH frequency was higher in c/sec (89%) than that of NSD(30%). According to follow up changes on brain ultrasonography, all cases of Grade 1 hemorrhage in the prematurity and SGA were absorbed within 1-2 months. Grade 2 and Grade 3 hemorrhage were absorbed within 2-3 months except 1 case of Grade 3 with leukomalacia.

Keywords :Intracranial hemorrhage;Brain ultrasonography;Prematurity;SGA