Intracranial hemorrhage in newborns
Bleeding primary intracerebeloasa
This type of bleeding occurs in premature newborn with an incidence of 12-15% in those aged below 32 weeks gestation, and / or weighing less than 1500 g.
A lower incidence is reported in the newborn period.
Etilogie:
Pathogens include: tunics integrity of vascular abnormalities of the skull, impaired cerebrovascular autoregulation with hypoxic-ischemic injury and bleeding from the matrix along the external germline cerebellum.
Clinical signs:
Almost invariably there is a history of perinatal asphyxia or respiratory distress syndrome. Most times there is a catastrophic damage, with apnea, bradycardia and decreased hematocrit, signs that appear in the first two days of life, up to three weeks.
In term newborn there is usually a history of difficult breech birth, which later develop neurological signs of brainstem compression.
Treatment of choice is symptomatic.
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