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Current Concepts of Pathophysiology of Perinatal Intraventricular Hemorrhage

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Perinatal Neurology and Neurosurgery

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Abstract

The term perinatal intracranial hemorrhage now evokes from most pediatricians, neonatologists, neurologists, and pathologists the thought of intracerebral, periventricular, intraventricular hemorrhage (PIVH). PIVH occurs most commonly in premature newborns of less than 32 weeks gestational age, most of whom have suffered the respiratory distress syndrome [1–9]. Most affected babies have sustained some degree of perinatal asphyxia [10]. The newborns who are symptomatic usually deteriorate, either suddenly or gradually, within the first three days after birth with bulging fontanelies, abnormalities on neurologic examination, bloody spinal fluid, a greater than 10% decrease in hematocrit, hypoglychorrachia, hyperglycemia, hypotension, and manifestations of seizure activity [6,7,9].

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Authors
  1. Jan Goddard-Finegold M.D.
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  1. Barrow Neurological Institute, St. Joseph’s Hospital and Medical Center, Phoenix, Arizona, USA

    Richard A. Thompson M.D. , John R. Green M.D., F.A.C.S.  & Stanley D. Johnsen M.D. ,  & 

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Goddard-Finegold, J. (1985). Current Concepts of Pathophysiology of Perinatal Intraventricular Hemorrhage. In: Thompson, R.A., Green, J.R., Johnsen, S.D. (eds) Perinatal Neurology and Neurosurgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-7295-0_3

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  • DOI: https://doi.org/10.1007/978-94-011-7295-0_3

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