Doctor insights on:
A cyst is a structure or mass that consists of a cellular lined sac. It is typically filled with fluid but may be filled with solid material. It can be congenital, traumatic, or acquired. They may develop nearly anywhere in the body and usually require complete excision for eradication or they are likely to recur. Fluid filled sacs that are not cellular lined ...Read more
IVH/PVH: Premature babies born at < 32 weeks gestation are at risk for periventricular hemorrhage (ivh/pvh). Later the pvh turns into pvh (periventricular leukomalacia). There are some precautions that the neonatologists can take to lower the risk of pvh in these babies but they cannot abolish the risk. Neonates who develop high grade of ivh/pvh (generally grade iii or iv) develop pvl. ...Read more
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 more
A problem...: Pvl as defined above is an type of brain injury that occurs in infants; the tissues surrounding the "ventricles" (which house fluid) are damaged leading to 'holes'. The problem arises in that there is no curative treatment for this disorder as of today; treatment focuses on helping the baby/child cope with the developmental and neurological consequences of the disorder in the first 2 years of life. ...Read more
Yes: This requires a long answer and there is an excellent description of the problem by sikply googling pvl. It is likely that a 4-year old had this problem at or near birth. Premature and low birth weight infants are more at risk. ...Read more
Low: Pvl, or periventricular leukomalacia, is a condition where "water-shed" areas in the brain suffer ischemic injury leading to loss of brain tissue. Pvl is most often described in extremely premature (< 28 wk gestation) infants, but the exact cause is unknown. Although less premature infants may develop pvl, this is very uncommon, and is usually preceded by a profound hypoxic or inflammatory event. ...Read more
Yes: Periventricular leukomalacia, or pvl, occurs when cortical brain tissue (white matter) is lost. It may be associated with damage to deeper brain structures (grey matter). Since pvl means loss of brain tissue, there will be permanent effects on certain motor (movement), and occasionally cognitive (thinking) abilities, often referred to a cerebral palsy. The degree of impairment is highly variable. ...Read more
Good peds OT and PT: Kids with pvl are at greater risk for cerebral palsy among other neuromuscular disorders. There is excellent rehab for kids with pvl, and most of them involve repetitive movement and relearning how to make normal movements, recruiting more brain to enable the movement to happen. Good pt and ot will help with that, and most major centers have them. The local support groups will know the good names. ...Read more
No, not genetic: Pvl or periventricular leukomalacia is an injury to the white matter of the brain. It usually occurs in preterm infants and occasionally in the fetus. It can result in possible cerebral palsy, motor developmental delays, seizures and vision problems, depending on the severity of the pvl. The extreme preterm infant 24 to 30 weeks are most at risk due to risk of bleeding in the brain. ...Read more
Unknown: The actual relationship between periventricular leukomalacia and seizures is unknown. While it is true that acute brain injury may often manifest with seizures, pvl is something we often see long after the seizures themselves have stopped, although both the seizures and the pvl may have the same underlying cause. Once pvl is discovered, the risk of subsequent seizures is about 20%. ...Read more
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
See below: There is no specific treatment.Get a more detailed answer ›
PVL is caused by: Lack of blood flow & oxygen to the white matter around the ventricles of the brain, an area most susceptible to damage around the end of the 2nd trimester. Severity of impairment varies widely, but isn't seen right away. Start Early Intervention therapy at 4-6 weeks as "Early Prevention" for optimal outcome. See: http://cerebralpalsy. Org/about-cerebral-palsy/cause/periventricular-leukomalacia/ ...Read more
PVL: 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 risk of the disorder. ...Read more
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 more
Would like to know what immediate action can be taken for a child (11 yrs) suffering from "periventricular leukomalacia" has an attack of fits.?
Loss of blood flow &: oxygen causes death of white matter around the fluid-filled ventricles of the fetal brain, often between 26-42 wks. More common in "preemies", some causes are infection, maternal cocaine or meth use & bleeding in the ventricles. Pediatric neurologists treat Spastic Cerebral Palsy & Seizures. Special Education is needed for Intellectual Disability or Specific Learning Disability. See below. ...Read more
No: Periventricular leukomalacia is a condition where brain tissue has been lost in so-called "water-shed" areas. Since the tissue is gone, there is no treatment per se, although one may need to treat associated disorders, such as muscle stiffness or dysfunction, with medical or non-medical therapies. ...Read more
Dr. F. discussed: Acute care. At the time of discharge from the NICu, an MRI of the brain is most predictive of outcome. The NICU will give you contact info for your state's Early Intervention Program. Enroll your baby & start services right away, even though you probably won't see any signs of motor impairment, as Occupational & Physical Therapy can minimize development of abnormal motor patterns. ...Read more
My 5 year old was born with mild pvl. He is now experiencing reading difficulties. I need a neurologist who specializes in sld with pvl in georgia?
Child study center: Pvl is a marker for brain injury that is often associated with other problems when a kid ages. In the past decade a subspecialty of pediatrics, the developmental pediatrician has grown to fill part of this need. They are often found at child study centers affiliated with children's hospitals or med schools. Often the work of a team can provide more answers than any single specialty. Good luck. ...Read more
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
17mth old male, cp, bpd, x 26 weeker, cvi, 2 grade 4 bilateral bleeds, pvl, ftt, protein intolerance. 16lbs30 inches. Safe minimum fluid intake/day?
Normal amt/see MD:
Premature infants typically exhibit catch up growth and follow their own weight and height growth curves. If he has a normal renal system and your physician has not otherwise fluid restricted him, he should be able to take the normal amount of fluid for his age.
A screening set of lab tests can be performed to study his kidney function.
PRMG/Pediatrics can review records faxed to
858 259 9689 ...Read more
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 more
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 more
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