J Korean Radiol Soc.  1986 Oct;22(5):704-714. 10.3348/jkrs.1986.22.5.704.

Evaluation of intracranial hemorrhage in neonates and infants using real time sonography

• Oh KK
• Han KM
• Suh JH
• Lee C
• Hong CH

• KMID: 2462272
• DOI: http://doi.org/10.3348/jkrs.1986.22.5.704

Abstract

The real time high resolution mechanical neurosonographic sector scanner is a convenient and useful instrumentfor detection of intracranial lesions in premature infants as well as low birth weight. From this experience,authors report with 104 neonates and infants who had been suspected intracranial hemorrhage and had been detectedand graded by sonography. The results were as followed: 1. The incidence of intracranial hemorrhage is 20 of 46(43.5%) neonates who had been studied before 3 days of age. But 7 of 16(43.7%) neonates showed ICH between the 4-7days of age. 2. There was no difference of prevalence in sex ratio in neonates with ICH. 3. There was closerelationship between ICH and gestational weeks. 15 of 27 (55.6%) neonates who were born under 32 gestational weeksshowed ICH was graded as 3 or 4 in 7 of 10. 4. 10 of 16(62.5%) neonate who were born under 1,500 gram body weighthad ICH within first 4 days. The severity of ICH was graded as 3 or 4 in 7 of 10. 5. The mode of deliveryinfluenced neonatal ICH incase of difficulty delivery such as forcep(4/4, 100%), vacuum (7/10, 70%), breech (3/3,100%), and C/S(13/33, 39.4%). 6. Incidence of ICH in neonates with pathologica lung conditions (29/40, 72.5%) washigher than ICH with normal chest findins(15/64, 23.4%). 7. For frequent follow up study of brain, neurosonographywas very helpul and economic in case of ICH, and could find congenital glioblastoma multiformed(1), and low gradeastrocytoma(1) incidentally.

MeSH Terms

Brain
Follow-Up Studies
Glioblastoma
Humans
Incidence
Infant*
Infant, Low Birth Weight
Infant, Newborn*
Infant, Premature
Intracranial Hemorrhages*
Lung
Prevalence
Sex Ratio
Thorax
Vacuum