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 |