Thursday, June 23, 2011

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 withoutclinical signs and is more common in premature;
- Grade II is characterized by seizures on day 2 of life, the infant isotherwise good general condition (good kid with seizures), andevolution is normal in 90% of cases;
- Grade II, rarely is massive subarachnoid hemorrhage with rapidly fatal evolution. These newborns had an injury often severeasphyxia, birth trauma sometimes. Few of them have a majorvascular lesions such as aneurysms and vascular malformations.

Laboratory diagnosis helps confirm the diagnosis of primarysubarachnoid hemorrhage. When performing lumbar puncture is emphasized cerebrospinal fluid (CSF) bloody. Called andcomputed tomography.

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

prognosis:
In the absence of hypoxic-ischemic lesions associating with andtrauma, the prognosis is favorable.

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