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[Periventricular leukomalacia prevalence in premature newborn]. / Prevalencia de leucomalacia periventricular en neonatos prematuros.
Hernández-Cabrera, Miguel Angel; Flores-Santos, Roberto; García-Quintanilla, Juan Francisco; Hernández-Herrera, Ricardo Jorge; Alcalá-Galván, Luis Gerardo; Castillo-Martínez, Norma Elia.
Afiliação
  • Hernández-Cabrera MA; Unidad Médica de Alta Especialidad 23, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, Mexico.
Rev Med Inst Mex Seguro Soc ; 47(2): 147-50, 2009.
Article em Es | MEDLINE | ID: mdl-19744382
BACKGROUND: the periventricular leukomalacia (PLM) is considered a lesion of the central nervous system secondary to a hypoxic-ischemic insult, and affects more to premature than term neonates. However, the reported rates in the literature are between 2 % to 25 % in premature neonates. The objective was to determine the prevalence of PLM in premature neonates. METHODS: a two year prospective screening program with transfontanel ultrasound in premature neonates weighing < 2000 g was carried out at 4 weeks of age. RESULTS: from 38 355 consecutive deliveries 562 were premature neonates weighted = 2000 g who fulfilled inclusion criteria and all were studied with transfontanel ultrasonography; we found 36 (6.34 %) premature neonates with PLM. Of the 346 neonates weighing = 1500 g, 26 (7.5 %) had a positive examination for PLM. In the 1501 g to 2000 g group, 10 of 216 (4.6 %) had PLM. The PLM prevalence was higher in male (2:1). Neurological exam was normal at the time of study. CONCLUSIONS: the PLM was present in 6.3 % of premature neonates weighing < 2000 g with 2 affected males for each female.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Leucomalácia Periventricular / Recém-Nascido Prematuro Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies / Screening_studies Limite: Female / Humans / Male / Newborn Idioma: Es Revista: Rev Med Inst Mex Seguro Soc Assunto da revista: MEDICINA / MEDICINA SOCIAL Ano de publicação: 2009 Tipo de documento: Article País de afiliação: México País de publicação: México
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Leucomalácia Periventricular / Recém-Nascido Prematuro Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies / Screening_studies Limite: Female / Humans / Male / Newborn Idioma: Es Revista: Rev Med Inst Mex Seguro Soc Assunto da revista: MEDICINA / MEDICINA SOCIAL Ano de publicação: 2009 Tipo de documento: Article País de afiliação: México País de publicação: México