Neurological evaluation of neonates with intraventricular hemorrhage and periventricular leukomalacia
DOI:
https://doi.org/10.34024/rnc.2009.v17.8600Keywords:
Infant Premature, Neurological Examination, Intracranial Hemorrhages, Leukomalacia PeriventricularAbstract
Introduction. Hemorrhage peri-intraventricular (IPVH) and periventricular leukomalacia (PVL) are common pathologies in the premature newborn and are directly associated with the prematurity degree. The aim of this study was to evaluate, through neurological examination, premature newborns with and without intraventricular hemorrhage and periventricular leukomalacia. Method. comparative study was carried out in a population of 19 preterm neonates with less than 32 weeks of gestational age, 10 of then with intraventricular hemorrhage or periventricular leukomalacia and 9 without it. The neonates were evaluated at 40 weeks of age corrected using the neurological tests proposed by Dubowitz and Dubowitz (1970) modified. The evaluations were classified as normal, abnormal or suspected. The neurological test had been analyzed and correlated with some variable as: mother´s age, gestational age, weight and Apgar score. The collected data had been analyzed through statistical tests with p values less than 0.05. Results. In this study, it was observed that the premature newborn of the group controls had presented greater itens of normality in the evaluated tests (p=0.0001). A greater number of abnormal signs were found in the neonates with intraventricular hemorrhage and periventricular leukomalacia (p=0.0002).Conclusion. In conclusion, most neonates with IPVH or PVL showed a significant correlation between the clinical and laboratory findings with neurological evaluation.
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References
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