AI Article Synopsis
- - The study aimed to assess the prevalence of enlarged extra-axial space (EES) and its link to subdural hemorrhage (SDH) in a group of 395 preterm infants assessed at term-equivalent age using MRI.
- - Out of the preterm infants, 1.6% had SDH, while a significant 48.1% exhibited EES, including all infants with SDH; the SDH incidence in those with EES was 3.2%.
- - A review of the six infants with SDH showed no signs of non-accidental trauma, indicating that preterm infants with EES have an increased risk of asymptomatic SDH compared to term infants. *
Article Abstract
To determine the incidence of enlarged extra-axial space (EES) and its association with subdural hemorrhage (SDH) in a regional cohort of preterm infants. As part of a prospective cohort study of 395 preterm infants, brain magnetic resonance imaging (MRI) was collected on each infant at term-equivalent age. Six preterm infants showed evidence of SDH. We reviewed the MRIs to identify the incidence of EES in these 6 infants and the cohort broadly. We then completed a retrospective chart review of the 6 infants to identify any concerns for non-accidental trauma (NAT) since the MRI was obtained. The incidence of SDH in the cohort was 1.6%. The incidence of EES was 48.1% including all 6 infants with SDH. The incidence of SDH in infants with EES was 3.2%. The retrospective chart review of the 6 infants did not yield any evidence of NAT. The incidence of EES and SDH in our cohort was significantly higher than similar cohorts of term infants, demonstrating an increased risk in preterm infants. The incidence of SDH in infants with EES was greater than in the total cohort, suggesting that it is a risk factor for asymptomatic SDH in preterm infants.
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| http://dx.doi.org/10.1007/s10140-024-02250-0 | DOI Listing |
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