Evaluation of Risk Factors and Outcome of Haemorrhagic Stroke in Neonates

Sadek, Abdelrahim Abdrabou; Ahmed, Ramadan; Gamal, Nahla

doi:10.21608/smj.2017.38919

Evaluation of Risk Factors and Outcome of Haemorrhagic Stroke in Neonates

Document Type : Original Article

Authors

Department of Pediatrics ,Faculty of Medicine, Sohag University, Sohag, Egypt.

10.21608/smj.2017.38919

Abstract

Back ground: Few data regarding causes and outcomes of hemorrhagic stroke in late preterm and term neonates are available so we were trying to identify them in this study.
Methodes:This prospective case control study was carried out at Sohag University Hospitals, during the period from 1/1/2015 to 31/12/2015 at the department of pediatrics and neonatal care unit at Sohag University. A total of 50 neonates term and late preterm neonates (≥34 weeks gestation) and ≤28 days of life had met the inclusion criteria were 23 males and 27 females.
Results: As regard outcome in our study, 8% had grade I, 14 % had grade II, 32% had grade III, 12%had grade IV, 14.5% had subdural hemorrhage and 20% had subarachnoid hemorrhage. So most patients have grade III intracranial hemorrhage and subarachnoid hemorrhage. According to the severity, in our study patients who had mild intracranial hemorrhage represented 48% and patients with moderate intracranial hemorrhage represented 30% and patients with severe intracranial hemorrhage represented 22%.
Conclusion: IVH is very rarely reported in full-term and late preterms neonates and may occur in these children with a variety of risk factors, in our study we tried to identify these risk factors and also the outcome and we found that the most frequent associated risk factors were absence of vitamin K administration followed by prolonged labour then neonatal sepsis.

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