Hematoma of the basal ganglia in the newborn: Non-surgical treatment.
スポンサーリンク
概要
- 論文の詳細を見る
Major forms of intracerebral hemorrhage include cortical, white matter and subependymal hemorrhages. Subependymal hemorrhage arises in general from the head of the caudate nucleus and rupture into the lateral ventricle.<BR>However, a massive hematoma is formed in the basal ganglia sometimes, although its mechanism is unknown. Recently, hematoma of the left basal ganglia was treated conservatively with success in our clinic.<BR>The female baby was born on May 27, 1983, by spontaneous cephalic delivery after 41 weeks of normal gestation. Birth weight was 3, 850 g. Apgar score was 9 at one minute after birth. The patient did well for the first 18 hours. Nineteen hours after birth, generalized convulsion occurred. On the 2nd postnatal day, CT was performed as the tense anterior fontanel suggested an intracranial hemorrhage. CT revealed a massive hematoma in the left basal ganglia with intraventricular hemorrhage (IVH) and moderate ventricular dilation. The patient was treated by removing cerebrospinal fluid with repeated lumbar punctures for 30 days. On the 19th day after birth, the hematoma disappeared but moderate ventricular dilation was still observed without an increased intracranial pressure. Thereafter, acetazolamide (20 mg/kg/day) and furosemide (1 mg/kg/day) were given orally for 6 months. She is now 16 months old and moderate ventricular dilation is noted on CT. But, she shows normal physical development and DQ is 94.<BR>We consider that the massive hematoma of the basal ganglia with IVH should be treated at first by repeated lumbar punctures and then by administration of acetazolamide and furosemide.
- 一般社団法人 日本小児神経学会の論文
一般社団法人 日本小児神経学会 | 論文
- Levetiracetamが著効したSTXBP1遺伝子変異による大田原症候群の1例
- Cyclophosphamideが著効した抗NMDA受容体抗体脳炎の8歳男児例
- 重症心身障害医療からみた小児脳死に関する私見
- 幼児期発症の難治な多発性硬化症に対しcyclophosphamideパルス療法が有効であった1例
- Duchenne型筋ジストロフィー児への病気の説明に関する調査