| Intracranial hemorrhage in the prematurity and small for gestational age an attempt of clinico-ultrasonographic correlation. |
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Kwang Sup Kim1, You Seop Shin1, Jong Wan Kim1, Kwang Nam Kim1, Ki Yang Ryoo1, Hyo Keun Lim2 |
1Department of Pediatrics, College of Medicine, Hallym University, Seoul, Korea
2Department of Radiology, College of Medicine, Hallym University, Seoul, Korea |
| 미숙아와 부당경량아에서의 두개강내출혈*
-임상적 소견과 초음파소견의 연관성- |
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김광섭1, 신유섭1, 김종완1, 김광남1, 유기양1, 임효근2 |
1한림대학교 의과대학 소아과학교실
2한림대학교 의과대학 방사선과학교실 |
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Received: 2 August 1990 • Accepted: 5 October 1990 |
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| Abstract |
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To evaluate the correlation between clinical and ultrasonographic findings, 79 consecutive brain
ultrasonographic examinations were performed in the 50 prematurity and 29 SGA.
Statistical significance was not detected about sex ratio, hemoglobin and hematocrit, Apgar score
and maternal age between the prematurity and SGA. Incidence of ICH was 66% in the prematurity
and 48% in the SGA.
According to Papile’s grading system, Grade 1 was 56% (28/50), Grade 2 was 2% (1/50), Grade 3
was 8% (4/50) in the prematurity and 48% (14/29) showed Grade 1 hemorrhage in the SGA. Intra-
cranial hemorrhage was detected within 7 days after birth about 95% in the prematurity and SGA.
Statistical significance was observed between mode of delivery and ICH in the SGA. ICH frequency
was higher in c/sec (89%) than that of NSD(30%).
According to follow up changes on brain ultrasonography, all cases of Grade 1 hemorrhage in the
prematurity and SGA were absorbed within 1-2 months. Grade 2 and Grade 3 hemorrhage were
absorbed within 2-3 months except 1 case of Grade 3 with leukomalacia. |
| Key Words:
Intracranial hemorrhage, Brain ultrasonography, Prematurity, SGA |
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