Cerebral hemorrhage in full term newborns
Campos-Castelló, J.; de Santos Moreno, M.T.; Jiménez-Alamo, M.L.; Ramírez, R.; Careaga-Maldonado, J.
Revista de Neurologia 29(3): 239-246
1999
ISSN/ISBN: 0210-0010 PMID: 10797906 Document Number: 499069
Cerebral hemorrhages in full-term newborn babies are an important factor in neonatal morbidity and mortality and very frequent in premature babies. In full-term newborn the frequency is reduced to 1-2% and the aetiopathogenesis is basically related to birth trauma. To identify the clinical forms of cerebral hemorrhages in full-term newborn before taking prophyllactic and/or therapeutic measures if possible. Based on the integrated physio-pathological model of Wigglesworth and Pape, two anatomo-pathological patterns were established according to gestational age. Topographic classification was done in full-term newborn according to site (subarachoid, subdural, intraventricular, cerebellar and intraparenchymatous). We studied the pathogenesis, clinical features and diagnosis of each of these sites and emphasize the importance of neuroimaging. The diagnostic approach proposed permits an aetiopathogenic and therapeutic view which currently permits improved prognosis and even cure in many cases.