Abstract Hemorrhage into the ventricles of the brain in infants, especially those of low birth weight, occurring either without known predisposition or more commonly with respiratory distress, is an important and sometimes devastating event in early life and its recognition and treatment are assuming practical importance because the chance for survival in the more severe cases is better than it was formerly. The bleeding takes place as a rule within the first several days after birth and its clinical recognition depends on deterioration in the condition of the child with seizures, fall in hematocrit reading, disturbance of breathing, and other signs.1 The event, however, may go unrecognized. Computerized tomography of the head is ideally suited to establishing the diagnosis of the condition and to the assessment of its extent and the degree of complicating hydrocephalus.2 Volpe, Pasternak, and Allan in this issue of the Journal (see p 1212) describe References 1. Tsiantos A, Victorin L, Relier JP, et al: Intracranial hemorrhage in the prematurely born infant . J Pediatr 85:854-859, 1974.Crossref 2. Krishnamoorthy KS, Fernandez RA, Momose KJ, et al: Evaluation of neonatal intracranial hemorrhage by computerized tomography . Pediatrics 59:165-172, 1977. 3. Korobkin R: The relationship between head circumference and the development of communicating hydrocephalus in infants following ventricular hemorrhage . Pediatrics 56:74-77, 1975. 4. Williams J, Hirsch NJ, Corbet AJS, et al: Postnatal head shrinkage in small infants . Pediatrics 59:619-622, 1977. 5. Salmon JH; Normal pressure hydrocephalus (Hakim's Syndrome) . N Engl J Med 283:1228-1229, 1970.Crossref 6. Matson DD: Neurosurgery of Infancy and Childhood . Springfield, Ill, Charles C Thomas Publisher, 1969, p 934. 7. Sidbury JB: The importance of lumbar puncture in intracranial hemorrhage of the new-born: Report of a case with recovery . Arch Pediatr 37:545-553, 1920. 8. Munro D: Cerebrospinal fluid pressure in the newborn . JAMA 90:1688-89, 1928.Crossref 9. Levinson A: Cerebrospinal fluid in infants and children . Am J Dis Child 36:799-818, 1928.
American Journal of Diseases of Children – American Medical Association
Published: Nov 1, 1977