A different view : There is value in grading intraventricular hemorrhage

Research output: Contribution to journalArticle (Academic Journal)peer-review

11 Citations (Scopus)

Abstract

The traditional 1-4 grading system for intra-ventricular haemorrhage (IVH) has been criticized on several points. Grade 1 IVH is not really intra-ventricular at all but all neurosonographers have recognized this for many years. Grade 3 IVH is criticized as it includes ventricular dilatation but grade 3 IVH is a haemorrhage large enough to distend the ventricle with blood not cerebrospinal fluid (CSF). The distinction between small and large IVH is valuable as the prognosis is very different. Grade 4 IVH is criticized as it is not an 'extension' but authors have described this as parenchymal haemorrhagic infarction for decades. Grade 4 IVH has different risk factors, prognosis and prophylaxis from periventricular leucomalacia. The shorthand category of 'severe IVH', meaning grades 3 and 4, is not adequate for individual patient assessment but is certainly useful for annual statistics, comparisons over time and between hospitals. Conclusion: Despite limitations, grading IVH has value.
Translated title of the contributionA different view : There is value in grading intraventricular hemorrhage
Original languageEnglish
Pages (from-to)1257 - 1258
Number of pages2
JournalActa Paediatrica
Volume96 (9)
DOIs
Publication statusPublished - Sep 2007

Bibliographical note

Publisher: Blackwell

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