Intracranial Hemorrhage in Full Term Infants; A Follow-Up Study

Introduction: The aim of this study was to determine the risk factors related to, clinical presentation and outcome of intracranial hemorrhage among full-term newborn infants.Materials and Methods: Full-term newborn infants who were diagnosed with intracranial hemorrhage in the neonatal intensive ca...

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Main Authors: Mehmet Şah İpek, Ayşegül Zenciroğlu, Mehpare Özkan, Hasibe Gökçe Çınar, Mustafa Aydın, Nurullah Okumuş
Format: Article
Language:English
Published: Galenos Publishing House 2012-12-01
Series:Güncel Pediatri
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Online Access:http://www.guncelpediatri.com/eng/makale/3208/103/Full-Text
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author Mehmet Şah İpek
Ayşegül Zenciroğlu
Mehpare Özkan
Hasibe Gökçe Çınar
Mustafa Aydın
Nurullah Okumuş
author_facet Mehmet Şah İpek
Ayşegül Zenciroğlu
Mehpare Özkan
Hasibe Gökçe Çınar
Mustafa Aydın
Nurullah Okumuş
author_sort Mehmet Şah İpek
collection DOAJ
description Introduction: The aim of this study was to determine the risk factors related to, clinical presentation and outcome of intracranial hemorrhage among full-term newborn infants.Materials and Methods: Full-term newborn infants who were diagnosed with intracranial hemorrhage in the neonatal intensive care unit of Dr. Sami Ulus Maternity and Children’s Hospital, between 2005 and 2010, were reviewed retrospectively. Cases were diagnosed with ultrasonography, computed tomography, or magnetic resonance imaging. The infants followed an average of 36 months had been underwent neurologic evaluations. Results: Fourteen full-term infants with intracranial hemorrhage were identified. The half of cases presented within the first week of life (7/14), and the most common presenting sign was seizure (8/14). Bleeding were placed frequently intraventricular (9/14) and subarachnoid (7/14), while 8 patients had two or more hemorrhage areas. The majority of cases (11/14) had a causal or contributory risk factor for intracranial hemorrhage. Only one patient required neurosurgical intervention. Two patients died during the neonatal period, and another with severely handicapped at ten months of age. Of the survivors, two patients showed severe neurodevelopmental delay, while one patient showed mild. The remaining 8 patients had a favorable outcome. Conclusions: Intracranial hemorrhage in the term newborn is usually associated with perinatal risk factors. Because of neurodevelopmental outcome may surprisingly be normal, despite severe hemorrhage, the long-term outcome is difficult to predict. (Journal of Current Pediatrics 2012; 10: 85-91)
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institution Kabale University
issn 1304-9054
language English
publishDate 2012-12-01
publisher Galenos Publishing House
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series Güncel Pediatri
spelling doaj-art-25ca6621760d49e4af6c29cfaaed4fb32025-01-02T20:54:21ZengGalenos Publishing HouseGüncel Pediatri1304-90542012-12-011038591Intracranial Hemorrhage in Full Term Infants; A Follow-Up StudyMehmet Şah İpekAyşegül ZenciroğluMehpare ÖzkanHasibe Gökçe ÇınarMustafa AydınNurullah OkumuşIntroduction: The aim of this study was to determine the risk factors related to, clinical presentation and outcome of intracranial hemorrhage among full-term newborn infants.Materials and Methods: Full-term newborn infants who were diagnosed with intracranial hemorrhage in the neonatal intensive care unit of Dr. Sami Ulus Maternity and Children’s Hospital, between 2005 and 2010, were reviewed retrospectively. Cases were diagnosed with ultrasonography, computed tomography, or magnetic resonance imaging. The infants followed an average of 36 months had been underwent neurologic evaluations. Results: Fourteen full-term infants with intracranial hemorrhage were identified. The half of cases presented within the first week of life (7/14), and the most common presenting sign was seizure (8/14). Bleeding were placed frequently intraventricular (9/14) and subarachnoid (7/14), while 8 patients had two or more hemorrhage areas. The majority of cases (11/14) had a causal or contributory risk factor for intracranial hemorrhage. Only one patient required neurosurgical intervention. Two patients died during the neonatal period, and another with severely handicapped at ten months of age. Of the survivors, two patients showed severe neurodevelopmental delay, while one patient showed mild. The remaining 8 patients had a favorable outcome. Conclusions: Intracranial hemorrhage in the term newborn is usually associated with perinatal risk factors. Because of neurodevelopmental outcome may surprisingly be normal, despite severe hemorrhage, the long-term outcome is difficult to predict. (Journal of Current Pediatrics 2012; 10: 85-91)http://www.guncelpediatri.com/eng/makale/3208/103/Full-TextIntracranial hemorrhagenewbornneurodevelopmental outcome
spellingShingle Mehmet Şah İpek
Ayşegül Zenciroğlu
Mehpare Özkan
Hasibe Gökçe Çınar
Mustafa Aydın
Nurullah Okumuş
Intracranial Hemorrhage in Full Term Infants; A Follow-Up Study
Güncel Pediatri
Intracranial hemorrhage
newborn
neurodevelopmental outcome
title Intracranial Hemorrhage in Full Term Infants; A Follow-Up Study
title_full Intracranial Hemorrhage in Full Term Infants; A Follow-Up Study
title_fullStr Intracranial Hemorrhage in Full Term Infants; A Follow-Up Study
title_full_unstemmed Intracranial Hemorrhage in Full Term Infants; A Follow-Up Study
title_short Intracranial Hemorrhage in Full Term Infants; A Follow-Up Study
title_sort intracranial hemorrhage in full term infants a follow up study
topic Intracranial hemorrhage
newborn
neurodevelopmental outcome
url http://www.guncelpediatri.com/eng/makale/3208/103/Full-Text
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AT mehpareozkan intracranialhemorrhageinfullterminfantsafollowupstudy
AT hasibegokcecınar intracranialhemorrhageinfullterminfantsafollowupstudy
AT mustafaaydın intracranialhemorrhageinfullterminfantsafollowupstudy
AT nurullahokumus intracranialhemorrhageinfullterminfantsafollowupstudy