Intracranial hemorrhage: clinical and demographic features of patients with late hemorrhagic disease

Pediatrics International : Official Journal of the Japan Pediatric Society
Ayfer Gözü PirincciogluMehmet Davutoglu

Abstract

This retrospective study presents clinical, demographical features and radiological findings as well as outcomes of 31 infants with intracranial hemorrhage (ICH) due to vitamin K deficiency and hence evaluates the risk factors involved. Thirty-one cases (17 males and 14 females) having a mean age of 52.52 ± 20.80 days with intracranial hemorrhage due to late hemorrhagic disease of the newborn (LHDN), hospitalized in our clinics were included in the study. Cranial computerized tomography (CT) was performed in all patients for the diagnosis and evaluation of ICH. It was found that the most frequent presenting symptoms were pallor (77.4%), seizures (58%), altered consciousness (58%), vomiting (44%) and poor feeding (35%). Pulsatile fontanel was found in 61% and bulging in 26%. Seven (22.5%) patients had prior history of antibiotic usage. All patients (93.5%) except two were breast fed. Sixteen (51.6%) were delivered at home. Eighteen (58%) had a history of single-dose vitamin K prophylaxis on the first day of delivery. Parenchymal (44%), subdural (39%) or subarachnoidal (22.5%) bleeding was observed. Seven (22.6%) were exitus. During the follow-up period (ranging from 3 months to 18 months) neurological examination findings were r...Continue Reading

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Citations

Sep 20, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Mehmet Akif OzdemirTurkan Patiroglu
Apr 23, 2014·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ekrem UnalHuseyin Per
Jan 28, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·F DituriR Agostino
Jun 6, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Vijai WilliamsS K Gupta

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