PMID: 2097333Jan 1, 1990Paper

Cerebral blood flow velocity recordings and the prediction of intracranial haemorrhage and ischaemia

Journal of Perinatal Medicine
D B ShortlandD Evans

Abstract

Doppler ultrasound was used to study prospectively cerebral and cardiovascular hemodynamics in a cohort of 120 preterm infants to see whether it was possible to predict infants at increased risk of developing cerebral pathology. The infants were divided into four outcome groups: Group I (n = 65, median gestation = 30 weeks) did not develop periventricular haemorrhage (PVH) nor periventricular leukomalacia (PVL) Group II (n = 43, median gestation = 28 weeks) developed PVH as the first or only cerebral lesion Group III (n = 7, median gestation = 29 weeks) developed PVL as the first or only cerebral lesion Group IV (n = 5, median gestation = 28 weeks) developed PVH and PVL simultaneously. Cerebral blood flow velocity (CBFV) and aorta blood flow velocity (ABFV) recordings made before the onset of PVH or PVL were compared between the four groups on each postnatal day but it was not possible to demonstrate a statistically significant difference between these variables in the four outcome groups. We conclude, therefore, that it is not possible to identify the infants who will go on to develop haemorrhage or ischaemic lesions on the basis of Doppler cerebral haemodynamic studies.

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Citations

Nov 1, 1995·Pediatric Neurology·R A MullaartJ J Rotteveel
Oct 23, 2002·Archives of Disease in Childhood. Fetal and Neonatal Edition·N EvansD Osborn
Oct 23, 2010·Stroke; a Journal of Cerebral Circulation·Elise A VerhagenArend F Bos
Aug 13, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Walid El-NaggarDavid Simpson

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