極小未熟児・脳室内出血の1治癒例

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  • Intraventricular Hemorrhage in An Infant of Very Low Birth Weight: A Case Report

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Intraventricular hemorrhage (IVH) in the neonatal period is readily demonstrated by CT of the cranium. In our clinic an infant of very low birth weight with IVH was treated conservatively with success. Information about the site and extent of the IVH, and size of the ventricular system, was provided once a week for 28 days by the use of CT.<BR>The male infant, weighing 1, 300 g., was born on 5 Oct. 1978, with spontaneous delivery following a 29 week gestation, Apgar score was 7 at 1 minute after birth. Oxygen inhalation was started after birth, because grunting and acrocyanosis were noted. on the 4 th postnatal day, CT was performed and IVH was diagonsed, as the hematocrit fell to 36% suggesting IVH. CT revealed hematomas in the trigonum of bilateral lateral ventricles with slight ventricular dilation. CT on the 3 rd week showed that the hematomas had disappeared, but moderate ventricular dilation was still observed. On the 4 th week, the size of the ventricles became normal. Thereafter, no ventricular dilation was observed by CT. From the 4 th to 19 th postnatal days, lumbar punctures were performed four times in order to reduce intraventricular pressure. CSF pressures were always 110-120 mmH2O.

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  • 脳と発達

    脳と発達 12 (5), 413-417, 1980

    THE JAPANESE SOCIETY OF CHILD NEUROLOGY

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