Estimated Brain Volume at Term Age in Very Preterm Infants with Uncomplicated Grade II And III Intraventricular Haemorrhage
Sorour, E., Ibrahim, H. (2021). Estimated Brain Volume at Term Age in Very Preterm Infants with Uncomplicated Grade II And III Intraventricular Haemorrhage. EKB Journal Management System, 85(2), 3649-3653. doi: 10.21608/ejhm.2021.201982
Ehab Sorour; Hossam Ibrahim. "Estimated Brain Volume at Term Age in Very Preterm Infants with Uncomplicated Grade II And III Intraventricular Haemorrhage". EKB Journal Management System, 85, 2, 2021, 3649-3653. doi: 10.21608/ejhm.2021.201982
Sorour, E., Ibrahim, H. (2021). 'Estimated Brain Volume at Term Age in Very Preterm Infants with Uncomplicated Grade II And III Intraventricular Haemorrhage', EKB Journal Management System, 85(2), pp. 3649-3653. doi: 10.21608/ejhm.2021.201982
Sorour, E., Ibrahim, H. Estimated Brain Volume at Term Age in Very Preterm Infants with Uncomplicated Grade II And III Intraventricular Haemorrhage. EKB Journal Management System, 2021; 85(2): 3649-3653. doi: 10.21608/ejhm.2021.201982

Estimated Brain Volume at Term Age in Very Preterm Infants with Uncomplicated Grade II And III Intraventricular Haemorrhage

The Egyptian Journal of Hospital Medicine
Article 30, Volume 85, Issue 2, October 2021, Page 3649-3653  XML PDF (713.43 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2021.201982
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Authors
Ehab Sorour email ; Hossam Ibrahim
Abstract
Background and aims: In very pre-term new-borns, cerebral lesions are usually complicated with neuro-developmental issues. But un-complicated intra-ventricular haemorrhage (IVH) has no reliable associations with poor outcomes.
Objective: In the current work we aimed to assess the impact of un-complicated brain haemorrhage on assessed brain size at term-equivalent ages (TEA), through standard indices made from cranial ultrasound (cUS).
Methods: This study included 87 very pre-term babies [< 32 weeks’ gestational age (GA)] up to and at TEA which were divided into two groups; group one included infants with uncomplicated grades II or III IVH, and group two included infants with normal cUS. A previously described standards based on linear measurements were used to calculate the estimated brain volumes at TEA and to compare between the two groups using independent groups t-test; p-value ≤ 0.05 was considered significant.
Results: 19 very pre-term babies with un-complicated IVH and 68 with normal images have been studied. Bi-parietal diameter at TEA was shorter in the IVH new-borns (72 vs 87 mm, p-value < 0.05) while thalamo-occipital distance was longer in IVH infants (23.7/21.4 mm, p-value < 0.05)). But, there were non-significant changes at TEA for bi-frontal diameter (69.3 vs 70.1 mm), transverse cerebellar diameter (51.1 vs 49.9 mm), valued cranial size (384/414cc3), valued cerebral size (338/341cc3) and Levene’s ventricular index (1.38/1.23 cm).  
Conclusions: There is no difference in assessed cerebral size at TEA, built on measures performed at the bedside via cranial US among very pre-term new-borns with dependably ordinary images and those with un-complicated grade II and grade III IVH.
 
Keywords
Cranial ultrasound; Pre-term; Intraventricular haemorrhage
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