Damages of Spinal Cord in Newborns after Intraventricular Hemorrhage

Abstract

We studied the spinal cords of 14 dead premature newborn with intraventricular hemorrhages. In all cases, grade III intraventricular hemorrhage was followed by the translocation of blood into the subarachnoid space of the cervical, dorsal, and lumbar parts of the spinal cord. Ischemic changes were found in neurons of the cervical intumescence and other parts of the spinal cord. These changes are important during thanatogenesis. Three stages in the development of intraventricular hemorrhage were distinguished. Imperfections of clinical classification of this pathology were demonstrated.

Spinal cord injury as an indicator of abuse in forensic assessment of abusive head trauma (AHT)

“…Spinal cord haemorrhage in newborns was studied by Vlasyuk et al in 2013 when he analysed 14 premature still-born babies with intraventricular haemorrhages. All cases with grade III were accompanied by drops of fluid in the subarachnoid space of the cervical dorsal and lumbar parts of the spinal cord [ 68 ]. No other cases of spinal blood in newborns are reported in the literature.…”

Classification of Intraventricular Hemorrhage in Newborns in the International Statistical Classification of Diseases

“…2) заполнение кровью боковых желудочков с их воз-можным расширением и перемещением крови в 3-й и 4-й желудочки мозга; 3) заполнение кровью 4-го желудочка с ее перемеще-нием в большую цистерну мозга, субарахноидаль-ное пространство полушарий мозжечка, варолиева моста, продолговатого и спинного мозга [11,12]. Поскольку указанная классификация разработана на основе морфологических исследований (наиболее фунда-ментальных и достоверных), она должна быть использо-вана специалистами в области нейровизуализиционных методов и клиницистами.…”