Doctor insights on:
Is My Sons Clonus More Likley To Be Related To His Cp Or Grade 4 Ivh With Pvl
Cerebral palsy: Ivh occurs in prematures, then resolves. Pvl is the result of changes in the brain due to prematurity. Cerebral palsy is a clinical diagnosis which includes spasticity and the ability to elicit clonus. This is often the result of events associated with prematurity. Clonus is a clinical finding that can be seen in normal children, but is more common in children with cerebral palsy. ...Read moreSee 2 more doctor answers
Periventricular leukomalacia (PVL) is a form of white-matter brain injury, characterized by the necrosis (more often coagulation) of white matter near the lateral ventricles. It can affect newborns and (less commonly) fetuses; premature infants are at the greatest ...Read more
29 preemie nw at 41wks. Occasional bilateral provoked ankle clonus at 10 to 15 beats. High chance of cerebral palsy?! no history of ivh or pvl. Thnx
My son had a grade 4 bleed however he is meeting all milestones at 6 myths old 4 adjusted is grade 4 the sane as pvl he was not diagnosed w/ pvl?
Confusing question: Meeting early milestones is good .To do so after a g4 bleed is hopeful, but too early think the worst is over.Staging of a bleed and the DX of pvl depend on the type and quality of study. G4 bleeds are worrisome. Kids are well past a year before we have an idea about speech and language development ; school age before learning skills are evident.These kids do their best with early intervention. ...Read more
Small: Pvl is more common in premature than term infants, and occurs more frequently with decreasing gestational age and size. Study showed the incidence of pvl is ~ 3-4% of infants who weigh < 1, 500 g (3.3 lb) have pvl, and 4-10% of those born < 33 weeks of gestation (but who survive more than three days postpartum). Another suggest <32 weeks account for~2% of all live births in usa. ...Read moreSee 1 more doctor answer
Discriptive term: Pvl is used to describe changes in the appearance of the brain substance that is adjacent to the ventricles of the brain (spinal fluid containing sacs in the middle). This occurs when blood flow or oxygen delivery to those sites was interupted and injury occured. Outcome is variable & movement disorders& motor delay are common. Therapy will often improve outcome. Developmental followup is a must. ...Read moreSee 2 more doctor answers
My question is whether grade 4 brain bleed is the same as pvl are they used interchangeably? My preemie son has grade but no pvl was found
No: Pvl relates to the degradation of the white matter in the brain layers near the cerebral ventricles.A kid may or may not develop pvl after a bleed but it may take time for it to become evident. A kid can also develop leukomalacia without a well defined cause. ...Read moreSee 1 more doctor answer
My son was born at 28 weeks and has mild pvl.Cp global delay. He cannot talk at nearly 4yrs old. Could doctors be overlooking autism in favor of global delay?
Certainly Possible: There can be some degree of overlap between the two conditions. Many of the featured behaviors of both can be shared. I would look at other symptoms he has and try to address any GI problems, any adhd type symptoms, sleep issues, allergies. Look into the group: maps. Medical academy of pediatric special needs. Doesn't hurt to get more than one opinion. ...Read moreSee 2 more doctor answers
My son has pvl born at 28 week weighing 2lb 12oz has pvl and cerebal palsy nrly 4 not talking will he ever talk?
Probably will talk: Many children with brain injuries as premature infants have dellayed spoken language skills. Early intervention and preschool programs use many approaches including sign language, pics, computer based technology to allow communication. Using technology does not prevent ultimate development of spoken language. ...Read moreSee 2 more doctor answers