[Cerebral hemorrhage in full term newborns].
BACKGROUND
Cerebral hemorrhages in full-term newborn babies are an important factor in neonatal morbidity and mortality and very frequent in premature babies. In full-term newborn the frequency is reduced to 1-2% and the aetiopathogenesis is basically related to birth trauma.


OBJECTIVE
To identify the clinical forms of cerebral hemorrhages in full-term newborn before taking prophyllactic and/or therapeutic measures if possible.


METHODS
Based on the integrated physio-pathological model of Wigglesworth and Pape, two anatomo-pathological patterns were established according to gestational age. Topographic classification was done in full-term newborn according to site (subarachoid, subdural, intraventricular, cerebellar and intraparenchymatous). We studied the pathogenesis, clinical features and diagnosis of each of these sites and emphasize the importance of neuroimaging.


CONCLUSIONS
The diagnostic approach proposed permits an aetiopathogenic and therapeutic view which currently permits improved prognosis and even cure in many cases.
Campos-Castelló
J
J
Servicio de Neurología Pediátrica, Hospital Clínico San Carlos, Madrid, España.
de Santos Moreno
M T
MT
Jiménez-Alamo
M L
ML
Ramírez
R
R
Careaga-Maldonado
J
J
D002543:Cerebral Hemorrhage / Q000145:classification / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging