Cerebellar haemorrhage in the extremely preterm infant

Hou, David, Shetty, Umesh, Phillips, Mark and Gray, Peter H. (2012) Cerebellar haemorrhage in the extremely preterm infant. Journal of Paediatrics and Child Health, 48 4: 350-355. doi:10.1111/j.1440-1754.2011.02232.x

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Author Hou, David
Shetty, Umesh
Phillips, Mark
Gray, Peter H.
Title Cerebellar haemorrhage in the extremely preterm infant
Journal name Journal of Paediatrics and Child Health   Check publisher's open access policy
ISSN 1034-4810
1440-1754
Publication date 2012-04
Year available 2011
Sub-type Article (original research)
DOI 10.1111/j.1440-1754.2011.02232.x
Volume 48
Issue 4
Start page 350
End page 355
Total pages 6
Place of publication Oxford, U.K.
Publisher Wiley-Blackwell Publishing
Collection year 2012
Language eng
Formatted abstract
Aim: The aim of this study was to investigate the incidence, risk factors and developmental outcomes of cerebellar haemorrhage in the extremely preterm infant.

Methods
: Over a 4-year period from January 2004, all patients with cerebellar haemorrhage born at 24–27 weeks gestation or with a birthweight < 1000 g were identified from database review. All patients had cranial ultrasound scans including views from the mastoid fontanelle. To verify the incidence, a review of all reports over the 4-year period and a review of all cranial imaging over a 2-year period were carried out.

Results
: From the data analysed on 339 neonates, five cases of cerebellar haemorrhage were identified, four on ultrasound scan (1.2%) and one on magnetic resonance imaging (1.5% total). Two cases were associated with grade III peri-intraventricular haemorrhage. The cases had diverse maternal, antenatal and post-natal risk factors. The two with associated peri-intraventricular haemorrhage have developmental delay. The cases with isolated cerebellar haemorrhage had good neurodevelopmental outcomes.

Conclusions:
A low incidence of cerebellar haemorrhage identified from the mastoid fontanelle was demonstrated. The neurodevelopmental outcome was better than that described in previous reports.
Keyword Posterior fossa haemorrhage
Premature birth
Ultrasonography
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 14 NOV 2011

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
 
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Created: Thu, 15 Dec 2011, 15:14:20 EST by Matthew Lamb on behalf of School of Medicine