Pathogenesis and Prevention of Intraventricular Hemorrhage

被引:211
作者
Ballabh, Praveen [1 ]
机构
[1] Maria Fareri Childrens Hosp, New York Med Coll, Westchester Med Ctr, Dept Pediat Cell Biol & Anat,Reg Neonatal Ctr, Valhalla, NY 10595 USA
关键词
Germinal matrix hemorrhage; Intraventricular hemorrhage; Astrocytes; Pericytes; Angiogenesis; Glucocorticoids; Premature infants; Indomethacin; CEREBRAL-BLOOD-FLOW; BIRTH-WEIGHT INFANTS; FACTOR-V-LEIDEN; GERMINAL MATRIX; PRETERM INFANTS; PREMATURE-INFANTS; PERIVENTRICULAR HEMORRHAGE; INTRACRANIAL HEMORRHAGE; BRAIN-BARRIER; WHITE-MATTER;
D O I
10.1016/j.clp.2013.09.007
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Intraventricular hemorrhage (IVH) is a major neurologic complication of prematurity. Pathogenesis of IVH is attributed to intrinsic fragility of germinal matrix vasculature and to the fluctuation in the cerebral blood flow. Germinal matrix exhibits rapid angiogenesis orchestrating formation of immature vessels. Prenatal glucocorticoid exposure remains the most effective means of preventing IVH. Therapies targeted to enhance the stability of the germinal matrix vasculature and minimize fluctuation in the cerebral blood flow might lead to more effective strategies in preventing IVH.
引用
收藏
页码:47 / +
页数:23
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