Intraventricular hemorrhage

Clinical Presentation 1. Symptoms a. Often asymptomatic – Up to 50% of cases b. Symptoms may include rapid decline in hematocrit, acidosis, hypo- or hyperglycemia, bulging fontanel, altered consciousness, seizures, and cardiorespiratory deterioration. 2. Diagnosed by cranial ultrasonography a. 50% occur on the first day of life. b. 90% occur within the first 4 days of life. 3. Risk factors a. Birth weight – Lower birth weights correlate with a higher incidence of IVH. b. Premature birth