RT Book, Section
A1 Gomella, Tricia Lacy
A1 Eyal, Fabien G.
A1 Bany-Mohammed, Fayez
SR Print(0)
ID 1168357900
T1 Intracranial Hemorrhage
T2 Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781259644818
LK accesspediatrics.mhmedical.com/content.aspx?aid=1168357900
RD 2024/04/20
AB An  intracranial  hemorrhage  (ICH)  can  occur  in  term  and  preterm  infants  and  is  the  most  common  central  nervous  system  (CNS)  acute  complication  of  a  preterm  birth.  Types  of  ICH  include  subdural  hemorrhage,  epidural  hemorrhage,  subarachnoid  hemorrhage,  intracerebral  intraparenchymal  hemorrhage,  intracerebellar  parenchymal  hemorrhage,  and  germinal  matrix  and  intraventricular  hemorrhage.  An  ICH  in  term  infants  tends  to  be  extra-axial  (subdural,  subarachnoid,  or  subtentorial)  and  is  most  related  to  birth  trauma,  hypoxic  ischemic  events,  and  coagulopathies  (eg,  thrombophilias  or  thrombocytopenia).  The  most  common  ICH  in  preterm  infants  is  bleeding  from  the  subependymal  germinal  matrix  and  may  result  in  intraventricular  or  periventricular  hemorrhage,  either  of  which  can  potentially  cause  hemorrhagic  infarctions  of  the  cerebral  white  matter.  With  the  spread  of  improved  neuroimaging  techniques,  cerebellar  hemorrhage  has  been  detected  with  increasing  frequency,  in  particular  among  very  immature  preterm  infants.