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Causes
It is not clear why IVH occurs.
In a premature baby: brain are very fragile and
immature and easily rupture.
Babies with respiratory problems such as hyaline
membrane disease, or other complications of
prematurity, are more likely to have IVH.
The smaller and more premature the baby, the more
likely IVH will occur.
Nearly all IVH occurs within the first three days of life.
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Symptoms
apnea and bradycardia (stopping breathing and low heart
rate)
pale or blue coloring (cyanosis)
weak suck
high-pitched cry
seizures
swelling or bulging of the fontanelles, the "soft spots"
between the bones of the baby's head
anemia (low blood count)
The symptoms of IVH may resemble other conditions
or medical problems. Always consult your baby's
physician for a diagnosis.
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Diagnostic confirmation
complete medical history
physical examination
cranial (head) ultrasound
▪ through the fontanelles, the amount of bleeding can be
graded.
Treatment
no specific treatment
except to treat any other health problems that may
worsen the condition
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Subdural the dura and bridging veins are grow fairly slowly appear convex,
hematomas the arachnoid sheared during and the or crescent-
mater acceleration- presentation can shaped, and may
deceleration of be delayed by cross suture lines
the head days to weeks
Cerebral appear as
(Intra- patches of bright
parenchymal) white in the
bleeds acute phase
From Volpe JJ. Neurology of the newborn, 3rd ed. Philadelphia: Saunders, 1995. With
permission.
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