What's the prognosis for periventricular leukomalacia (pvl) in a baby?

See below. The prognosis varies. It depends on the severity of the pvl, and any other problems. The child should have his/her development followed closely. They may benefit from early intervention services, as well.
White matter of . the brain around the ventricles is very susceptible to damage from drops in oxygen or blood flow, especially near the end of the 2nd trimester. Thus, it can occur in a fetus or in a VLBW "preemie". Though diagnosed by cranial ultrasound, the degree of damage visible on MRI of the brain at discharge from the NICU is the best predictor of risk for developmental delays & motor impairment. .

Related Questions

How common is periventricular leukomalacia in babies born full term?

Uncommon. Very uncommon. Periventricular leukomalacia, or white matter pathology, represents some pathological process has occurred or is occurring. This would require an understanding of cause and perhaps an action plan wrt treatment, if possible. Read more...
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. See http://cerebralpalsy.org/about-cerebral-palsy/cause/periventricular-leukomalacia/ for more information. Call Early Start. 800.515.BABY, www.dds.ca.gov/ earlystart, to begin "Early Prevention" therapy now to maximize motor development. 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...

How is periventricular leukomalacia (pvl) treated in a newborn?

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 near the end of the 2nd trimester. Symptoms often appear as motor development progresses head-to-toe the 1st year. However, contact http://www.mycitymyplace.com/earlyintervention.htm. upon discharge from NICU & begin Early Intervention therapy to maximize motor development. Read more...

What's periventricular leukomalacia?

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...

What is periventricular leukomalacia?

White matter disease. Surrounding the fluid spaces within the brain are white (myelinated) nerve fiber tracts. These are susceptible to damage, usually due to small vessel circulatory problems. Other causes: hypertension, low blood sodium, brain trauma, genetics, low blood oxygen levels, alcoholism, certain drugs. Read more...
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...

What are the tests for periventricular leukomalacia?

Visible on US or CT. An ultrasound done through the soft spot will often detect pvl. Ct or MRI might also be helpful but the cranial ultrasound is easy to do & requires little preparation or stress on the patient so it is the more common study for this dx. Read more...
PVL is caused by . lack of blood flow & oxygen to white matter around the ventricles of the fetal brain, an area most susceptible to damage around the end of the 2nd trimester. Cranial ultrasounds are done on newborns with risk factors by history or neurologic abnormalities by exam. An MRI of the brain is also diagnostic. Symptoms vary widely & may not be obvious early on, but Early Intervention is important. Read more...

What are the symptoms of periventricular leukomalacia?

Symptoms. Periventricular leukomalacia is a condition that mostly affects preterm infants. The hallmark symptom present in these children is a bilateral spasticity of the lower limbs. Read more...

What is the definition or description of: Periventricular leukomalacia?

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...

I am a basket case. My son has periventricular leukomalacia. Can you tell me something about it?

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...
Disabilites. Unfortunately, periventricular leukomalacia, or pvl usually occurs in pre-term infants, but can occur in-utero when there has been placental insufficiency causing poor perfusion to the fetal brain. They are cysts that form when those areas of the brain essentially die. They are around the ventricular system of the brain, where the neurons involved regulate movement. Cerebral palsy is usually seen. Read more...
Hope this helps. You didn't indicate if he is a preemie, had any other neurological problems, nor his age, so i can't address his specific prognosis. I can only tell you that i've had patients whose MRI findings looked a lot worse than they did and that early intervention really will help both of you.You deserve a safe place to vent your feelings so you can focus on learning what you can do to help your son. Read more...