Thalamic hemorrhage with intraventricular hemorrhage in the full-term newborn.
Thalamic hemorrhage with intraventricular hemorrhage in the full-term newborn.
复制标题
足月新生儿丘脑出血伴脑室内出血。
作者：
E. Roland;O. Flodmark;Alan Hill
脑室内出血在足月新生儿中是一种罕见的问题。在对19名1个月前经计算机断层扫描诊断为脑室内出血的足月婴儿进行的审查中，12名婴儿记录了与脑室内出血相关的丘脑出血。因此，丘脑出血似乎是该年龄组脑室内出血的最常见来源，特别是在出生后第一周出现临床异常（颅内压升高、癫痫发作、意识水平改变）的婴儿中。这些婴儿中的大多数有脑静脉梗死的易感因素，如败血症，紫绀型先天性心脏病和凝血功能障碍。丘脑出血/脑室内出血婴儿的临床表现和结局与其他部位脑室内出血婴儿相似，但丘脑出血/脑室内出血婴儿的脑瘫发生率增加。根据特征性的放射学异常作出诊断。
Intraventricular hemorrhage is an uncommon problem in the full-term newborn. In a review of 19 full-term infants with intraventricular hemorrhage diagnosed on computed tomography prior to 1 month of age, thalamic hemorrhage associated with the intraventricular hemorrhage was documented in 12 infants. Thus, thalamic hemorrhage appears to the most common source of intraventricular hemorrhage in this age group, particularly in infants who had uneventful birth histories and in whom clinical abnormalities (signs of increased intracranial pressure, seizures, altered level of consciousness) developed after the first week of life. The majority of these infants had predisposing factors for cerebral venous infarction such as sepsis, cyanotic congenital heart disease, and coagulopathy. The clinical appearance and outcome for infants with thalamic hemorrhage/intraventricular hemorrhage were similar to those in infants with intraventricular hemorrhage originating from other sites, except for an increased incidence of cerebral palsy in infants with thalamic hemorrhage/intraventricular hemorrhage. Definitive diagnosis was made on the basis of characteristic radiologic abnormalities.