Abstract
Introduction: Periventricular leucomalatio (PVL) is a serious damage of brain that occurs during antenatal, perinatal and postnatal period. In preterm babies under 32 gestational weeks, we have 4-9% of PVL. In term babies, this kind of damage is very rare 0.9- 2%. In 35-90% of cases, damage can cause severe changes, which clinically are express as spastic diplegy and cerebral palsy. Aims: To look PVL incidence in preterm babies and relation between results of hemoculture and type of PVL. Material and Methods: in our annual study (January 2008-january 2009) we examined 200 preterm babies hospitalised in our Clinic. Babies were 28- 35 gestational weeks (mean 31 weeks) weight 900- 2500 gr. (mean 1600 gr.), at all preterm babies we made brain ultrasound with probe frequency 5.5- 7.5 MHz. Results: PVL is developing at 22 cases (11%) and according to sex: 12 males and 10 females. From them 14 were PVL of I-st and II-nd type and eight cases with III-rd type. From this number 17 or 75% had positive hemoculture. We had a significant relation between positive hemoculture and third type of PVL, which results with 7 cases or 88%. In addition, the size of cyst play important role in prognosis, were cysts larger than 1 cm give permanent changes also depend on localisation. Conclusion: PVL is very often at preterm babies and our results show relation between results of hemoculture and type of PVL.
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