Pediatric Intraventricular Hemorrhage and Stroke

Pediatric Intraventricular Hemorrhage and Stroke

Share:

Summary

Intraventricular hemorrhage (IVH) is bleeding into the brain’s ventricular system (the communication network), which can result from physical trauma or from hemorrhaging (bleeding) during a stroke.

Expanded overview

Intraventricular hemorrhage can damage or kill areas of the brain that are critical to development and motor function. Intraventricular hemorrhage is a frequent cause of death in premature infants (babies born more than three weeks early).

Causes

The cause of IVH can be congenital (present at birth) or acquired (develops over time). A stroke (when blood flow to the brain is cut off and cells are damaged) is one cause of intraventricular hemorrhages.

Other causes include:

  • Blood-clotting abnormalities
  • Head injury
  • Malformed or weakened blood vessels in the brain
  • Maternal high blood pressure (hypertension)
  • Maternal infection
  • Pelvic inflammatory disease
  • Placental blood clots
  • Shaken baby syndrome (head trauma as a result of forcibly shaking a child age newborn to 5 years)

Types

The hemorrhage can be arterial or venous:

  • Arterial bleeding – This type of hemorrhage results in additional loss of oxygen to tissue because arteries carry oxygenated blood to the heart. Arterial hemorrhages are harder to control than venous hemorrhages.
  • Venous bleeding – This type of hemorrhage affects the veins that return blood to the heart.

Symptoms

Intraventricular hemorrhage

Symptoms of an intraventricular hemorrhage include:

  • Abnormal eye movement
  • Apnea (pauses in breathing)
  • Decreased muscle tone
  • Decreased reflexes
  • Excessive sleep or lethargy
  • Fallen blood count
  • Pale or blue coloring
  • Seizures
  • Shrill cry
  • Weak suck

Stroke

Symptoms of a stroke include:

  • Extreme sleepiness
  • Seizures
  • Using only one side of the body

Request Appointment