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Mark S. Scher, MD; Francis S. Wright, MD; Lawrence A. Lockman, MD; Theodore R. Thompson, MD

Arch Neurol. 1982;39(12):769-772.

Abstract
• Intraventricular hemorrhage (IVH) can occur in full-term newborns with a variety of clinical pictures. We studied five full-term infants who suffered IVH in the neonatal period and survived. No apparent cause for hemorrhage could be found in four. All had normal results of neurologic examinations at birth, and four had no major antecedent perinatal or postnatal difficulties. In 19 previously described full-term infants with IVH, no perinatal problems were noted in 45% of those who survived. Although more common in premature infants, IVH can occur in full-term infants and should be suspected when there is a sudden change in the neurologic status. In subsequent examinations, three of our five infants had mild spasticity and two appeared to be normal. The grading system developed for IVH in premature infants, while indicating severity of the hemorrhage, does not predict clinical outcome in full-term infants. A more definitive statement of outcome will require a longer period of observation.

Author Affiliations
From the Division of Pediatric Neurology (Drs Scher, Wright, and Lockman), and Department of Pediatrics (Neonatology Division) (Dr Thompson), University of Minnesota Medical School, Minneapolis. Dr Scher is now with Stanford (Calif) University Medical School, and Dr Wright is now with Children's Hospital, Columbus, Ohio.

Footnotes
Accepted for publication March 20, 1982.

Reprint requests to University of Minnesota Hospitals, Box 39 Mayo, 420 Delaware St SE, Minneapolis, MN 55455 (Dr Thompson).

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