Ultrasonographic Manifestations Of Germinal Matrix Haemorrhage And Periventricular Leukomalacia In Preterm Neonates At Teaching Hospital Peradeniya (original) (raw)

Germinal Matrix Haemorrhage (GMH) and Periventricular Leukomalacia (PVL) are two common types of brain injuries seen in preterm neonates for which cerebral hypoxia and ischaemia are major contributory factors. The objective of this study was to determine the type and grade of GMH and PVL on cranial ultrasonography to predict the neuro-developmental outcome. This is a descriptive study. Two hundred and sixty four preterm neonates between 28-34 weeks of gestation with risk factors and clinical features of brain injuries admitted to Special Care Baby Unit (SBU), Teaching Hospital Peradeniya from January 2013 to December 2013 were included in the study. Neonates with congenital anomalies, traumatic birth injuries, recurrent hypoglycaemia and bleeding disorders were excluded. Cranial ultrasound scans were done by an experienced Medical Officer, Professor of Radiology and Consultant Radiologist using a dedicated neonatal head probe 4-10 MHz of Logic e portable ultrasound scanner. Measurem...