Neuropsychological outcome of cerebral hemorrhage in fullterm newborn infants

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Published

1999-03-31

How to Cite

Aguas, S. J., Ampudia, M. S., Macaya, A. ., Molina, J., & Tomás, J. (1999). Neuropsychological outcome of cerebral hemorrhage in fullterm newborn infants. Revista De Psiquiatría Infanto-Juvenil, (1), 5–17. Retrieved from https://aepnya.eu/index.php/revistaaepnya/article/view/479

Issue

No. 1 (1999): January-March

Section

Orginial article

Authors

  • S. J. Aguas Hospital Materno-Infantil Vall d'Hebron
  • M. S Ampudia Hospital Materno-Infantil Vall d'Hebron
  • A. Macaya Hospital Materno-Infantil Vall d 'Hebron
  • J. Molina Hospital Materno-Infantil Vall d 'Hebron
  • J. Tomás Hospital Materno-Infantil Vall d 'Hebron

Keywords:

Cerebral Hemorrhage, Full-term infants, Neuropsychological outcomes in Children, Mental retardation, Learning disabilities

Abstract

The aims of this study are: 1. To establish the neuropsychological and neurological outcome of cerebral hemorrhage occurring during the neonatal period in full-term newborns, who are now of school age. 2. To determine if the are differences between groups, taking into account the specifc hemorrhage area. Method: Full-term infants {40 weeks gestational age) who presented cerebral hemorrhage in the first month of lije (diagnosed by cerebral TAC) and who had been attended by the neurological service are included in this study. Current age range: 7-16 years. The patients were evaluated by: 1. Semi-structured interview with the parents. 2. Achembach Infant Behaviour Scale (CBC). 3. Wechsler Intelligence Scale for Children• Revised (WISC-R). 4. LuriaDNI Neuropsychological Battery. 5. Rey Complex Test 6. Wisconsin Sorting Card Test (WSCT). Double-blind study without knowledge of specific brain hemorrhage area during evaluation, with 8 one-hour sessions per infant. Using the BMDP statistical programme, we carried out a descriptive analysis of the variahlPs, bearing in mind the mean and the standard deviation. Results: The study group consisted of 16 patients who completed the evaluation, with an averange age of 11.9 years (12 males, 4 Jemales). They were grouped according to the specific brain hemorrhage area: Intraventricular (4), parenchymatous (4), posterior fossa (5), and subdural (3). The most frequent motor defect was clumsiness. The mean Ful! Scale IQ on WISC-R was 80.5 with standard deviation of 20.5 (Verbal IQ 87.0; Performance IQ 77. 8). The distribution of variables in each group of hemorrhages was observed. In general, the group with parenchymatous hemorrhage showed the lowest score. Conclusions: Neonatal cerebral hemorrhage is a high risk factor far neurological and Neuropsychological alterations. These children display particular difliculties in the development of the functions related to learning disabilities and in extreme cases Mental Retardation. In this study we observed a different behaviour pattern depending on hemorrhage area, the worst being children with cerebral parenchyma. A greater deficit was detected in patients with lesions in the left hemisphere, as well as a greater deficiency of manipulative functions than verbal ones.

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