Abstract

The pathogenesis of intraventricular hemorrhage in the newborn includes that of subependymal hemorrhage (SEH), the single most common pathologic alteration seen in the brains of 417 consecutively autopsied infants. A clearly recognizable relationship of SEH to gestational age and clinical status exists in that all SEH occur in premature infants under 2500 g birthweight (although only 56% of all premature infants have SEH) and 95% of SEH occur in infants with the respiratory distress syndrome (although only 60% of infants with the respiratory distress syndrome have SEH). The pathogenesis appears to involve a combination of hypoxia, metabolic acidosis, venous stasis and rupture of the thin-walled veins so prominent in the germinal matrix.

Keywords

Germinal matrixRespiratory distressIntraventricular hemorrhageMedicineSubependymal zonePathogenesisHypoxia (environmental)PathologyGestational agePediatricsInternal medicineAnesthesiaPregnancyBiology

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Publication Info

Year
1974
Type
article
Volume
77
Issue
3
Pages
465-75
Citations
175
Access
Closed

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Richard W. Leech, P W Kohnen (1974). Subependymal and intraventricular hemorrhages in the newborn.. PubMed , 77 (3) , 465-75.