The incidence, timing, and predisposing factors of germinal matrix and intraventricular hemorrhage (GMH/IVH) in preterm neonates.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Hassan KadriJehad Kazah

Abstract

Germinal matrix and intraventricular hemorrhage (GMH/IVH) is a known complication occurring in the first week of life in preterm neonates. However, the precise time of its occurrence and the ideal time to perform diagnostic imaging studies remain controversial. The purpose of this paper is to address these two issues in our patient population to allocate our resources to those at highest risk. This study included 282 premature newborns (under 37 weeks of gestation) that were admitted to our neonate ICU in a year's time and screened for GMH/IVH. They were grouped in four categories according to their weight at birth, and according to their gestational age. All patients had a daily cranial ultrasound during the first week. It was then repeated once in the second week and once in the third. We found that the incidence of GMH/IVH among preterm neonates was 44.68%. It was inversely related to the weight and the age of the newborn. The onset of bleeding coordinated with the occurrence of hypoxia and respiratory distress requiring mechanical ventilation. The majorities occurred in the first 7 days of life; they were mostly grade I and II according to the Papule classification and silent for the most part. Complications were present in...Continue Reading

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Citations

Mar 20, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Vaner Köksal, Suat Öktem
Jul 12, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Luigi MatturriAnna M Lavezzi
Sep 20, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Vasilios Tsitouras, Spyros Sgouros
Jan 9, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Farid KhanMuhammad Ehsan Bari
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Jan 15, 2011·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Shahin BehjatiMostafa El Khashab
Feb 25, 2009·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Luca MassimiConcezio Di Rocco
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