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. 1987 Sep;62(9):931–937. doi: 10.1136/adc.62.9.931

Early and late cranial ultrasonographic appearances and outcome in very low birthweight infants.

R W Cooke 1
PMCID: PMC1778589  PMID: 2445302

Abstract

Of 798 very low birthweight infants admitted to a regional neonatal intensive care unit over a five year period, 547 were discharged home and 524 available for follow up at two to five years later. Eighty-seven infants had a major impairment. Both early and late cerebral ultrasonographic appearances gave useful prognostic information, but the presence of cystic lesions, particularly if bilateral, was highly significant. There was a close correlation between late parenchymal lesions and previous ipsilateral intraventricular haemorrhage, suggesting a causal relation.

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Selected References

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  1. Bejar R., Curbelo V., Coen R. W., Leopold G., James H., Gluck L. Diagnosis and follow-up of intraventricular and intracerebral hemorrhages by ultrasound studies of infant's brain through the fontanelles and sutures. Pediatrics. 1980 Nov;66(5):661–673. [PubMed] [Google Scholar]
  2. Catto-Smith A. G., Yu V. Y., Bajuk B., Orgill A. A., Astbury J. Effect of neonatal periventricular haemorrhage on neurodevelopmental outcome. Arch Dis Child. 1985 Jan;60(1):8–11. doi: 10.1136/adc.60.1.8. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Cooke R. W. Factors associated with periventricular haemorrhage in very low birthweight infants. Arch Dis Child. 1981 Jun;56(6):425–431. doi: 10.1136/adc.56.6.425. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Ment L. R., Scott D. T., Ehrenkranz R. A., Rothman S. G., Duncan C. C., Warshaw J. B. Neonates of less than or equal to 1,250 grams birth weight: prospective neurodevelopmental evaluation during the first year post-term. Pediatrics. 1982 Aug;70(2):292–296. [PubMed] [Google Scholar]
  5. Palmer P., Dubowitz L. M., Levene M. I., Dubowitz V. Developmental and neurological progress of preterm infants with intraventricular haemorrhage and ventricular dilatation. Arch Dis Child. 1982 Oct;57(10):748–753. doi: 10.1136/adc.57.10.748. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Pape K. E., Blackwell R. J., Cusick G., Sherwood A., Houang M. T., Thorburn R. J., Reynolds E. O. Ultrasound detection of brain damage in preterm infants. Lancet. 1979 Jun 16;1(8129):1261–1264. doi: 10.1016/s0140-6736(79)92227-x. [DOI] [PubMed] [Google Scholar]
  7. Papile L. A., Munsick-Bruno G., Schaefer A. Relationship of cerebral intraventricular hemorrhage and early childhood neurologic handicaps. J Pediatr. 1983 Aug;103(2):273–277. doi: 10.1016/s0022-3476(83)80366-7. [DOI] [PubMed] [Google Scholar]
  8. Shankaran S., Slovis T. L., Bedard M. P., Poland R. L. Sonographic classification of intracranial hemorrhage. A prognostic indicator of mortality, morbidity, and short-term neurologic outcome. J Pediatr. 1982 Mar;100(3):469–475. doi: 10.1016/s0022-3476(82)80462-9. [DOI] [PubMed] [Google Scholar]
  9. Spector G. J., Pettit W. J., Davis G., Strauss M., Rauchbach E. Fetal respiratory distress causing CNS and inner ear hemorrhage. Laryngoscope. 1978 May;88(5):764–784. doi: 10.1002/lary.1978.88.5.764. [DOI] [PubMed] [Google Scholar]
  10. Stewart A. L., Thorburn R. J., Hope P. L., Goldsmith M., Lipscomb A. P., Reynolds E. O. Ultrasound appearance of the brain in very preterm infants and neurodevelopmental outcome at 18 months of age. Arch Dis Child. 1983 Aug;58(8):598–604. doi: 10.1136/adc.58.8.598. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Thorburn R. J., Lipscomb A. P., Stewart A. L., Reynolds E. O., Hope P. L., Pape K. E. Prediction of death and major handicap in very preterm infants by brain ultrasound. Lancet. 1981 May 23;1(8230):1119–1121. doi: 10.1016/s0140-6736(81)92295-9. [DOI] [PubMed] [Google Scholar]
  12. Thorburn R. J., Lipscomb A. P., Stewart A. L., Reynolds E. O., Hope P. L. Timing and antecedents of periventricular haemorrhage and of cerebral atrophy in very preterm infants. Early Hum Dev. 1982 Dec 6;7(3):221–238. doi: 10.1016/0378-3782(82)90085-8. [DOI] [PubMed] [Google Scholar]
  13. Volpe J. J., Herscovitch P., Perlman J. M., Raichle M. E. Positron emission tomography in the newborn: extensive impairment of regional cerebral blood flow with intraventricular hemorrhage and hemorrhagic intracerebral involvement. Pediatrics. 1983 Nov;72(5):589–601. [PubMed] [Google Scholar]
  14. Weindling A. M., Rochefort M. J., Calvert S. A., Fok T. F., Wilkinson A. Development of cerebral palsy after ultrasonographic detection of periventricular cysts in the newborn. Dev Med Child Neurol. 1985 Dec;27(6):800–806. doi: 10.1111/j.1469-8749.1985.tb03805.x. [DOI] [PubMed] [Google Scholar]
  15. de Vries L. S., Dubowitz L. M., Dubowitz V., Kaiser A., Lary S., Silverman M., Whitelaw A., Wigglesworth J. S. Predictive value of cranial ultrasound in the newborn baby: a reappraisal. Lancet. 1985 Jul 20;2(8447):137–140. doi: 10.1016/s0140-6736(85)90237-5. [DOI] [PubMed] [Google Scholar]

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