Relationship of cranial midline shift to outcome of very-low-birth-weight infants with periventricular hemorrhagic infarction.

作者: John Y. Gibson , Twila W. Massingale , Glen R. Graves , Michael H. LeBlanc , Edward F. Meydrech

DOI: 10.1111/JON199444212

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摘要: The purpose of this study was to determine the relationship a cranial midline shift accompanying periventricular hemorrhagic infarction subsequent handicap in very-low-birth-weight infants. A group 44 infants with intraventricular hemorrhage and an associated retrospectively selected from 1,080 evaluated by sonography. is defined sonographically as displacement septum pellucidum (or cavum septi pellucidi) more than 3 mm spatial midline. measured half distance between right left inner tables on anterior coronal view. Other sonographic data recorded were size lateral ventricle, intracranial hemisphere, infarction. Also noted appearance area at time initial detection shift. After discharge, periodically for major vision, hearing, cognition, motor activity. identified 29 (66%) Seven (24%) (20%) 15 without died. In all 22 surviving (25%) 12 survivors shift, developed (p < 0.01). As predictor handicap, showed sensitivity 88% specificity 100%. Predictability not improved combining parenchymal infarct.(ABSTRACT TRUNCATED AT 250 WORDS)

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