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The new radiological technics show the incidence of intraventricular hemorrhage (IVH),
intraparenchymal hemorrhage (IPH), or of porencephaly (PL), in the neonatal period.
Discrepancies between the initial extent of lesions and the outcome have been observed.
We tried to appreciate the EEG value in infants having had such lesions during the
first month of life. We studied serial EEG s and neuroradiological exams in 34 babies:
with IVH (group I, 17 cases), with IPH and/'or PL (group II, 17 cases). Their gestational
age (GA) was between 27 and 34 weeks; they all had a neurological follow-up between
one and five years. Infants with favourable outcome (76% in gr. I, 47% in gr. II)
had normal or slightly abnormal EEGs, whatever the extent of lesions. Nine babies
had very abnormal EEGs (numerous positive rolandic spikes (PRSs) and/or EEG background
without physiological rhythms); one developed moderate sequelae, the other 8 major
sequelae (2 with infantile spasms). In gr. II, babies with major sequelae had a higher
GA than babies with good outcome. The PRSs were more often observed with periventricular
lesions than with IVH only and in babies with higher GA; they lasted up to 12 weeks
on serial EEGs in one case with porencephaly (major sequelae with infantile spasms);
they appeared before scan abnormality in another case which developed later porencephaly
(major sequelae). Thus, EEGs give valuable information on brain function and help
to forecast outcome in premature babies.
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References
- Early neurodevelopmental outcome of low birth weight infants surviving neonatal intraventricular hemorrhage.JPerinatMed. 1982; 10: 34-40
- Neurologic sequelae in the survivors of neonatal intraventricular hemorrhage.Pediatrics. 1979; 64: 233-237
- Ultrasound appearance of the brain in very preterm infant and neurodevelopment at 18 months of age.Arch Dis Child. 1983; 58: 598-604
- Intraventricular haemorrhage in a preterm neonate: discordance between clinical course and ultrasound scan.Neuropediatrics. 1983; 14: 242-244
- Evoluzione electro-clinica nelle emorragie intraventriculari e nelle leucomalacia del prematuro.in: Rossolini Primo anno di vita: organizazione e sviluppo della patologia neuropsichica. Top studio, Urbino1984: 502
- Valeur prognostique de l'EEG du premature.Rev EEG Neurophysiol. 1977; 7: 386-391
Radvanyi MF, Morel-Kahn F. L’EEG chez le prématuré pathologique. In: Cavazutti GB, ed. J problemi neurologici del neonato di basso peso. Atti del primo convegno di neurologia neonatale, 1979:69–72.
- Apport de l’EEG au diagnostic des hémorragies intraventriculaires des prématurés.Rev EEG Neurophysiol. 1972; 2: 318-322
- Intérêt discriminatif des pointes positives rolandiques.in: Contribution au diagnostic des hémorragies intraventriculaires. Université René Descartes, Paris1978 (offset, 52 pp. Thèse med.)
- Positive rolandic sharp waves in neonatal EEG: types and significance.Electroencephalogr Clin Neurophysiol. 1982; 53: 277-282
- Neonatal electroencephalography.in: Scarpelli Cosmi Review in perinatal medicine. Vol 3. Raven Press, New York1979: 397-472
- Seizures and electrical discharges in premature infants.Neuropediatrics. 1985; 16: 143-148
- Electroencephalographic study of intraventricular hemorrhage in the preterm newborn.Neuropediatrics. 1983; 14: 225-230
- Positive rolandic sharp waves in the electroencephalograms of premature neonates with intraventricular hemorrhage.Electroencephalogr Clin Neurophysiol. 1984; 57: 395-404
- Etude de la valeur diagnostique de l’EEG au cours des hémorragies péri et intra-ventriculaires du nouveauné.Arch Fr Pediatr. 1980; 37: 381-384
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© 1987 Published by Elsevier Inc.
