PROGRESSIVE VENTRICULOMEGALV FOLLOWING MINOR INTRACRANIAL HEMORRHAGE IN PREMATURE INFANTS

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Abstract
Progressive hydrocephalus following subependymal-intraventricular hemorrhages (SEH-IVH) in premature infants has been noted after moderate to severe degrees of hemorrhage. The ventricular dilatation often has been noted to resolve spontaneously, or not continue to progress after 4 wk of age. Premature infants (11) with moderate to marked degrees of ventricular enlargement following minor degrees of SEH-IVH have been identified over 18-mo. and in 6 of these infants the dilatation continued to progress after 1 mo. of age. This sequence of events has not been well documented, and it emphasizes the need to closely follow all infants who have sustained any degree of intracranial hemorrhage. The authors recommended routine real-time ultrasound brain-scans at 1 mo. of age for all infants with SEH-IVH, and continued close observation with serial head-measurements of those with enlarged ventricular systems at that time.