Outcomes and rehabilitation potential in children with intraventricular hemorrhages in the perinatal period

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OBJECTIVE

To study the characteristics of the rehabilitation potential of children with outcomes of perinatal intraventricular hemorrhages, depending on the lesion of the brain associated with hemorrhages.

MATERIALS AND METHODS

One hundred and eighty-two children with outcomes of perinatal brain lesions were examined using a scale for assessment of the rehabilitation potential.

RESULTS

Lower overall rates of rehabilitation potential were found in children under 3 years of age with ventricular and cerebral cortex lesions (p=0.001) and in children over 3 years of age who had intraventricular hemorrhages and subcortical nuclei lesions (p=0.002). More severe sensory impairments were found in children under and over 3 years of age with intraventricular hemorrhages and lesions of the trunk (p=0.002 and p<0.001, respectively), the cortex (p<0.001and p=0.002, respectively), the periventricular region of the brain (p=0.097 and p=0.041, respectively) and subcortical nuclei (p=0.662 and p=0.004, respectively).

CONCLUSION

The combination of perinatal intraventricular hemorrhages with lesions of the subcortical nuclei and the cerebral cortex leads to the most serious consequences, while the combination with lesions of these areas and the trunk, the periventricular area leads to more severe sensory motor deficits in children.

Keywords:

intraventricular hemorrhage

perinatal CNS lesions

rehabilitation potential in children

rehabilitation potential assessment scale

Authors:

Glukhov B.M.

Novosibirsk State Medical University

Baydarbekova A.K.

National Center of Children’s Rehabilitation of the corporate fund University Medical Center

Received:

25.07.2019

Accepted:

05.03.2020

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