Subpial hemorrhages in neonates: imaging features, clinical factors and outcomes

• Published in: Scientific reports Vol. 13; no. 1; p. 3408
• Main Authors: Zhuang, Xiamei, Jin, Ke, Li, Junwei, Yin, Yan, He, Siping
• Format: Journal Article
• Language: English
• Published: London Nature Publishing Group UK 28.02.2023; Nature Publishing Group; Nature Portfolio
• Subjects: 692/617; 692/699; Apgar score; Birth weight; Brain; Communications systems; Comorbidity; Congenital diseases; Demographics; Dyskinesia; Gestational age; Hemorrhage; Humanities and Social Sciences; Humans; Infant, Newborn; Intracranial Hemorrhages - diagnostic imaging; Laboratories; Magnetic resonance imaging; Medical imaging; Medical records; multidisciplinary; Neonates; Patients; Pediatrics; Prognosis; Retrospective Studies; Risk Factors; Science; Science (multidisciplinary); Vagina
• ISSN: 2045-2322; 2045-2322
• DOI: 10.1038/s41598-023-30332-5

Neonatal subpial hemorrhage is a poorly understood type of intracranial hemorrhage. Herein, we reported on 34 neonates with subpial hemorrhages, focusing on the imaging features, clinical factors, and outcomes of this type of intracranial hemorrhage. This retrospective case series enrolled 34 neonates with subpial hemorrhages. We analyzed their magnetic resonance (MR) images, clinical manifestations, and prognoses. We categorized, for the first time, the MR images of patients with subpial hemorrhages into three imaging patterns; moreover, on the basis of a yin-yang sign, we added a sandwich sign, attaining an MR image feature that was easier to understand. MR Patterns A and B both have good prognoses, and most patients had normal clinical outcomes. Subpial hemorrhage in neonates may be diagnosed via imaging patterns. Recognizing this pattern of hemorrhage may help gain a better understanding of the associated risk factors.