This type of bleeding occurs in premature babies with an incidence of 12-15% in those aged under 32 weeks gestation, and / orweighing less than 1500 g.
A lower incidence is reported in term newborn.
Etilogie:
Pathogens include tunics vascular integrity, skull deformities,impaired cerebrovascular autoregulation with hypoxic-ischemicinjury and bleeding from the external germinal matrix along thecerebellum.
Clinical signs:
Almost invariably there is a history of perinatal asphyxia orrespiratory distress syndrome. Most times there is a catastrophicdamage, with apnea, bradycardia and decreased hematocrit, signs that appear in the first 2 days of life, up to 3 weeks.
The 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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