SLY Siu, NS Kwong, KT So

Abstract

A retrospective chart review of 18 cases with imaging confirmed diagnosis of intracranial haemorrhages (ICH) delivered at term in Tuen Mun Hospital between January 1995 and December 2004 was done. The demographic data, perinatal events, clinical characteristics, treatment and long term outcome were reviewed. The commonest mode of delivery was vacuum extraction. The most prevalent perinatal event identified was fetal distress. In contrast with previous studies, coagulopathy was present in only one newborn. Ten infants (55.6%) presented with seizures, nine of them developed within the first 72 hours. For babies with intraparenchymal and/or extra-axial haemorrhages, they presented uniformly with seizure. For peri/intraventricular haemorrhages, the presentation was more varied. Only one infant required surgical intervention and during a mean follow-up period of fifty-five months in fourteen patients, ten children with an uncomplicated ICH demonstrated normal neurological outcome.