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Review
. 2016 Dec;32(12):2447-2451.
doi: 10.1007/s00381-016-3164-5. Epub 2016 Jul 8.

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

Dawid Szpecht  1 , Dagmara Frydryszak  2 , Norbert Miszczyk  2 , Marta Szymankiewicz  3 , Janusz Gadzinowski  3
Affiliations
Review

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

Dawid Szpecht et al. Childs Nerv Syst. 2016 Dec.

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.

Keywords: Etiopathogenesis; Intraventricular hemorrhage; Term neonate.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Brain magnetic resonance imaging of the neonate reported as case 1. The right hemisphere of the brain on the border of the temporoparietal lobes, an intracerebral hematoma, second in the left temporal lobe
Fig. 2
Fig. 2
Brain magnetic resonance imaging of the neonate reported as case 2. Hydrocephalus and posthemorrhagic changes in both choroid plexuses, in the left choroid plexus fresh bleeding focus
See this image and copyright information in PMC

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