Wednesday, March 9, 2011

Intracranial hemorrhage in newborns Primary subarachnoid hemorrhage

Intracranial hemorrhage in newborns
Primary subarachnoid hemorrhage

On this type of hemorrhage were defined three major syndromes:
- Grade I, the most common, minor degree of bleeding without clinical signs and is more common in premature;
- Grade II is characterized by seizures in the 2nd day of life, the infant is otherwise good general condition (good kid with seizures), and evolution is normal in 90% of cases;
- Grade II, more rare, massive subarachnoid hemorrhage with rapidly fatal evolution. These infants have often had an injury severe asphyxia, birth trauma sometimes. Few of them have a major vascular lesions such as aneurysms and vascular malformations.

Paraclinical diagnosis help confirm the diagnosis of primary subarachnoid hemorrhage. When performing the lumbar puncture is distinguished cerebrospinal fluid (CSF) bloody. The calls and computed tomography.

Treatment:
Treatment of seizures requires therapy, treatment of hydrocephalus.

Prognosis:
In the absence of association with hypoxic-ischemic injury and trauma, the prognosis is favorable.

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