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足月儿新生儿脑室内出血

Intraventricular hemorrhage in the neonate born at term.

作者信息

Palma P A, Miner M E, Morriss F H, Adcock E W, Denson S E

出版信息

Am J Dis Child. 1979 Sep;133(9):941-4. doi: 10.1001/archpedi.1979.02130090069013.

DOI:10.1001/archpedi.1979.02130090069013
PMID:474546
Abstract

Four term infants were found by computerized cerebral tomography (CT) to have intraventricular hemorrhage. All were male infants who had experienced substantial intrapartum complications. One infant had subtle clinical signs at 2 days of age; the others had major neurologic findings including seizures and ophthalmoplegia that occurred at 1, 4, and 6 weeks of age, respectively. Three infants in whom the hemorrhages were indistinguishable by CT from those described in preterm infants now have arrested hydrocephalus and normal development. The fourth infant was found to have a large glioblastoma at the site of origin of his initial hemorrhage. These cases emphasize the need to consider this diagnosis in neonates born at term who have abnormal neurologic signs.

摘要

通过计算机断层扫描(CT)发现4名足月儿有脑室内出血。所有患儿均为男性,且在分娩期均出现严重并发症。1名婴儿在2日龄时出现轻微临床症状;其他婴儿分别在1周、4周和6周龄时出现包括癫痫和眼肌麻痹在内的严重神经系统症状。其中3名婴儿的CT表现与早产儿的脑室内出血难以区分,目前脑积水停止进展且发育正常。第4名婴儿在其最初出血部位发现一个大的胶质母细胞瘤。这些病例强调,对于出现异常神经系统症状的足月新生儿,需要考虑这一诊断。

相似文献

1
Intraventricular hemorrhage in the neonate born at term.足月儿新生儿脑室内出血
Am J Dis Child. 1979 Sep;133(9):941-4. doi: 10.1001/archpedi.1979.02130090069013.
2
Intraventricular hemorrhage and hydrocephalus in premature newborns: a prospective study with CT.早产儿脑室内出血与脑积水:一项CT前瞻性研究
AJR Am J Roentgenol. 1979 Apr;132(4):631-5. doi: 10.2214/ajr.132.4.631.
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[Diagnosis and follow-up studies by computed tomography in hemorrhage of germinal matrix of newborns (author's transl)].
Radiologe. 1981 Nov;21(11):516-20.
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Craniocerebral computed tomography in the neonate.
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Multifocal intraparenchymal hemorrhages after ventriculoperitoneal shunt surgery in infants.婴儿脑室腹腔分流术后的多灶性脑实质内出血
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[Intracranial hemorrhages in mature and premature infants. Computer tomography and clinical follow-up studies].[成熟和早产儿的颅内出血。计算机断层扫描及临床随访研究]
Monatsschr Kinderheilkd. 1986 Feb;134(2):84-8.
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Thalamic hemorrhage with intraventricular hemorrhage in the full-term newborn.足月儿丘脑出血伴脑室内出血
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Obstetric antecedents of intraventricular hemorrhage and periventricular leukomalacia in the low-birth-weight neonate.低体重新生儿脑室内出血及脑室周围白质软化的产科相关因素
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Computerized axial tomography of the brain in neonates and young infants.新生儿和幼儿的脑部计算机断层扫描。
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[Intracranial hemorrhage in infants born at term].[足月儿颅内出血]
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Intraventricular hemorrhage in asphyxiated newborns treated with hypothermia: a look into incidence, timing and risk factors.低温治疗的窒息新生儿脑室内出血:发病率、发生时间及危险因素研究
BMC Pediatr. 2015 Aug 28;15:106. doi: 10.1186/s12887-015-0415-7.
3
Symptomatic intracranial hemorrhage in full-term infants.足月儿的症状性颅内出血
Childs Nerv Syst. 1995 Dec;11(12):698-707. doi: 10.1007/BF00262235.
4
Cerebral structure and intraventricular haemorrhage in the neonate: a real-time ultrasound study.新生儿脑结构与脑室内出血:一项实时超声研究
Arch Dis Child. 1981 Jun;56(6):416-24. doi: 10.1136/adc.56.6.416.
5
Postpartum CT examination of the heads of full term infants.足月婴儿头部的产后CT检查。
Neuroradiology. 1980;20(3):145-54. doi: 10.1007/BF00341779.
6
Posthaemorrhagic hydrocephalus in newborn term infants.足月儿新生儿出血后脑积水
Arch Dis Child. 1985 Aug;60(8):706-9. doi: 10.1136/adc.60.8.706.
7
Acute intracranial hematomas in term neonates.
Childs Nerv Syst. 1986;2(4):191-4. doi: 10.1007/BF00706809.
8
On the pattern of reticular fibers in the intracranial arteries of mature newborn with and without intracranial hemorrhage.
Childs Nerv Syst. 1986;2(1):2-4. doi: 10.1007/BF00274024.
9
Deep cerebral venous thrombosis in thalamo-ventricular hemorrhage of the term newborn.足月儿丘脑出血破入脑室合并大脑深静脉血栓形成
Pediatr Radiol. 1992;22(2):123-7. doi: 10.1007/BF02011312.