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November 1977

The Emergence of Hydrocephalus After Ventricular Hemorrhage and the Estimation of Intracranial Pressure in Infants

Author Affiliations

Department of Neurosurgery Children's Hospital Medical Center and Harvard Medical School Boston, MA 02115

Am J Dis Child. 1977;131(11):1203-1204. doi:10.1001/archpedi.1977.02120240021002

Hemorrhage into the ventricles of the brain in infants, especially those of low birth weight, occurring either without known predisposition or more commonly with respiratory distress, is an important and sometimes devastating event in early life and its recognition and treatment are assuming practical importance because the chance for survival in the more severe cases is better than it was formerly. The bleeding takes place as a rule within the first several days after birth and its clinical recognition depends on deterioration in the condition of the child with seizures, fall in hematocrit reading, disturbance of breathing, and other signs.1 The event, however, may go unrecognized.

Computerized tomography of the head is ideally suited to establishing the diagnosis of the condition and to the assessment of its extent and the degree of complicating hydrocephalus.2 Volpe, Pasternak, and Allan in this issue of the Journal (see p 1212) describe