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Arch Dis Child Fetal Neonatal Ed 81:F211-F216 doi:10.1136/fn.81.3.F211
  • Original article

Neonatal focal temporal lobe or atrial wall haemorrhagic infarction

Table 1

Parenchymal temporal lobe haemorrhage associated with germinal matrix haemorrhage

Case No Gestational age Clinical details Side IVH grade Outcome
Probable venous infarction within the area drained by the inferior ventricular vein
1 27 PROM, vaginal breech delivery, hypothermia, hypotension, grade 4 IRDS Right 4 Early neonatal death (arrest of intensive care)
2 26 Third of quintuplet, vaginal breech delivery, grade 4 IRDS with pulmonary emphysema, pneumothorax and chronic lung disease Right 2 Late neonatal death
3 32 Grade 3 IRDS Left 2 Normal motor development at 7 months, MDI 105
4 28 Second twin, emergency caesarean, grade 4 IRDS, pulmonary hypertension, pulmonary emphysema, bilateral pneumothorax, open ductus arteriosus (surgically clipped), chronic lung disease Right 2 Delayed milestones, mild cognitive dysfunction, no cerebral palsy at 42 months
5 27 Grade 3 IRDS, transient posthaemorrhagic ventriculomegaly, urethral valves with urosepsis Left 2 Transient lower limb hypertonia and mild cognitive delay at 18 months (MDI 84)
6 40 Maternal diabetes insipidus, seizures on day 2, right subacute temporal cerebral and left cerebellar bleeding, no respiratory distress Right 2 Hypotonia and mild cognitive delay at 34 months (MDI 88, Reynell language test at 5th centile)
7 28 PROM, early onset GBS septicaemia with hypotension, metabolic acidosis, neutropenia; no IRDS, open ductus arteriosus Right 2 Normal at 4 months
Probable venous infarction within the area drained by the lateral atrial vein
8 34 Enterococcal pneumonia (vertical transmission), pneumothorax, pulmonary hypertension, chronic lung disease Right 2 Mild left hemiparesis at 28 months, MDI 110
9 34 Acceptor in a fetofetal transfusion, severe non-immune hydrops, persistent hypoglycaemia, posthaemorrhagic hydrocephalus Left 2 Severe visual dysfunction, normal cognitive dysfunction, poorly defined psychiatric disorder, first epileptic insult at 8 years of age
10 31 Pre-eclampsia, intrauterine growth retardation, fetal distress 3 days before caesarean section, no respiratory distress, lesion seen at 1 h of age Right 2 No follow up yet

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