[Periventricular leukomalacia in the premature infant with gestational age less than or equal to 32 weeks. Circumstances of onset and echographic aspects].
In a retrospective study of 83 preterm newborns of 32 weeks of gestation or less, isolated periventricular leukomalacia was found in 7 cases (8.4%). Ultrasonographic diagnosis was made in all cases during the first 3 days of life and cystic lesions always occurred during the first 40 days. Five of the 7 newborns suffered from in utero asphyxia, 4 had an Apgar score below 5 at 5 min, and only 4 presented a respiratory distress syndrome. Thus the diagnosis of periventricular leukomalacia can be established early by ultrasonography. In utero asphyxia seems to be a critical determinant of ischaemic brain lesions.
Deiber
M
M
Service de Pathologie et de Réanimation Néonatales, Hôpital Edouard-Herriot, Lyon, France.
Cortambert
F
F
Blanc
J F
JF
Putet
G
G
Salle
B
B
D001034:Apgar Score; D001238:Asphyxia Neonatorum / Q000150:complications; D002543:Cerebral Hemorrhage / Q000175:diagnosis; D004453:Echoencephalography; D004678:Encephalomalacia / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007969:Leukomalacia, Periventricular / Q000175:diagnosis* / Q000209:etiology; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D012127:Respiratory Distress Syndrome, Newborn / Q000150:complications; D012189:Retrospective Studies; D012307:Risk Factors
Les leucomalacies périventriculaires du prématuré d'âge gestationnel inférieur ou égal à 32 semaines. Circonstances de survenue, aspects échographiques.