1592 neurodevelopmental follow-up of vlbw neonates: effects of gmh/ivh

1592 neurodevelopmental follow-up of vlbw neonates: effects of gmh/ivh

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ABSTRACT During a 12-month period, our NICU admitted 65 VLBW neonates (BW <1250 g) who survived longer than 36 hr. CT scans and/or postmortem examination were performed on 62 (95%). CT scanning revealed germinal-matrix and/or intraventricular hemorrhage (GMH/IVH) in 27 of the 62 (43.5%), and GMH/IVH was found at postmortem in 7 others (11.3%), yielding a total incidence of 54.8%. There were no significant differences in the BW, GA, Apgars, sex, or mode of resuscitation in the survivors with or without GMH/IVH and in the deceased. No infants with Grades III or IV IVH survived. Of the 49 VLBW survivors, 32 (65%) have been followed with neurologic examinations and with the Bayley Scales of Infant Development at 3, 6, and 12 months corrected age. When the results for the survivors with and without IVH were compared at each age, no significant differences were found (see table). The incidence of major neurologic abnormalities was quite low and was similar for both groups. No infant with a Grade II IVH has required shunting for post-hemorrhagic hydrocephalus. We conclude that a Grade I or II GMH/IVH appears to add little neurodevelopmental risk for the early development of the VLBW Infant. ARTICLE PDF AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Yale Univ. Sch. of Med., Depts. of Ped., Neurol., & Neuroradiol., New Haven, CT. Laura R Ment, David T Scott, Stephen G Rothman, Richard A Ehrenkranz & Joseph B Warshaw Authors * Laura R Ment View author publications You can also search for this author inPubMed Google Scholar * David T Scott View author publications You can also search for this author inPubMed Google Scholar * Stephen G Rothman View author publications You can also search for this author inPubMed Google Scholar * Richard A Ehrenkranz View author publications You can also search for this author inPubMed Google Scholar * Joseph B Warshaw View author publications You can also search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Ment, L., Scott, D., Rothman, S. _et al._ 1592 NEURODEVELOPMENTAL FOLLOW-UP OF VLBW NEONATES: EFFECTS OF GMH/IVH. _Pediatr Res_ 15 (Suppl 4), 708 (1981). https://doi.org/10.1203/00006450-198104001-01609 Download citation * Issue Date: 01 April 1981 * DOI: https://doi.org/10.1203/00006450-198104001-01609 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative

ABSTRACT During a 12-month period, our NICU admitted 65 VLBW neonates (BW <1250 g) who survived longer than 36 hr. CT scans and/or postmortem examination were performed on 62 (95%). CT


scanning revealed germinal-matrix and/or intraventricular hemorrhage (GMH/IVH) in 27 of the 62 (43.5%), and GMH/IVH was found at postmortem in 7 others (11.3%), yielding a total incidence of


54.8%. There were no significant differences in the BW, GA, Apgars, sex, or mode of resuscitation in the survivors with or without GMH/IVH and in the deceased. No infants with Grades III or


IV IVH survived. Of the 49 VLBW survivors, 32 (65%) have been followed with neurologic examinations and with the Bayley Scales of Infant Development at 3, 6, and 12 months corrected age.


When the results for the survivors with and without IVH were compared at each age, no significant differences were found (see table). The incidence of major neurologic abnormalities was


quite low and was similar for both groups. No infant with a Grade II IVH has required shunting for post-hemorrhagic hydrocephalus. We conclude that a Grade I or II GMH/IVH appears to add


little neurodevelopmental risk for the early development of the VLBW Infant. ARTICLE PDF AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Yale Univ. Sch. of Med., Depts. of Ped., Neurol., &


Neuroradiol., New Haven, CT. Laura R Ment, David T Scott, Stephen G Rothman, Richard A Ehrenkranz & Joseph B Warshaw Authors * Laura R Ment View author publications You can also search


for this author inPubMed Google Scholar * David T Scott View author publications You can also search for this author inPubMed Google Scholar * Stephen G Rothman View author publications You


can also search for this author inPubMed Google Scholar * Richard A Ehrenkranz View author publications You can also search for this author inPubMed Google Scholar * Joseph B Warshaw View


author publications You can also search for this author inPubMed Google Scholar RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Ment, L., Scott, D.,


Rothman, S. _et al._ 1592 NEURODEVELOPMENTAL FOLLOW-UP OF VLBW NEONATES: EFFECTS OF GMH/IVH. _Pediatr Res_ 15 (Suppl 4), 708 (1981). https://doi.org/10.1203/00006450-198104001-01609 Download


citation * Issue Date: 01 April 1981 * DOI: https://doi.org/10.1203/00006450-198104001-01609 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content:


Get shareable link Sorry, a shareable link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative