Periventricular Leukomalacia - Oren Zarif - Periventricular Leukomalacia
If your baby is too young for normal development, he or she may be diagnosed with periventricular leukomalacia (PVL). This brain disorder can occur during pregnancy or before birth. It affects the white matter of the brain, which sends information to nerve cells in the spinal cord and brain. When this part of the brain is damaged, a child may develop tight muscles and other issues. Periventricular leukomalacia increases the likelihood of cerebral palsy and learning disabilities.
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The symptoms of periventricular leukomalacia can be mild or severe, and can lead to language and learning barriers. Hearing problems can also be a complication of this condition. Patients with periventricular leukomalacia may also suffer from hearing dysfunction and vibrational hearing loss. Other signs and symptoms may include cross-eyes, a condition known as strabismus. Children with periventricular leukomalacia may also have vision problems or hearing loss. Treatments for periventricular leukomalacia include physiotherapy, occupational therapy, and speech therapy.
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Pediatricians and neurologists must closely monitor children with PVL. Various diagnostic procedures are used to collect images of the brain and spinal cord. Magnetic resonance imaging, for example, uses radio waves and magnets to generate images. A cranial ultrasound is another common test. This test allows doctors to look at the shape of a child's skull and the position of its various parts. These tests can be used to help doctors better diagnose PVL.
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Enhanced neonatal intensive care has increased the survival rate of premature infants. Nonetheless, five percent to 10 percent will exhibit substantial motor defects. Another 25% to 50% will have significant cognitive and behavioral deficits. The most common cause of cerebral palsy in preterm infants is periventricular leukomalacia. With the right treatment, this brain disease can be treated. And the chances of improving your baby's life are better than ever before.
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Periventricular leukomalacia is a brain disorder characterized by the loss of white matter and softening of brain tissue. Premature infants are especially vulnerable to this disorder. This disorder is associated with delayed mental development, motor disabilities, and vision impairment. It is important to monitor any symptoms early and receive appropriate medical care. If left untreated, the risk for a child with PVL is very high.
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Periventricular leukomalacia is characterized by cell death and damage to the white matter of the brain. This white matter is a strong indicator of cerebral palsy. The severity of the condition varies, and children with the disease may have severe impairments or not exhibit any symptoms at all. The extent of cell death will determine the severity of symptoms. Affected children may suffer from spasticity, intellectual impairment, and seizures.
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The underlying mechanisms of PVL are unknown. It is not completely clear what causes the death of OL precursor cells, but recent studies suggest a role for maternal/fetal infections and endotoxin exposure. While no specific cause has been identified, the release of cytokines is a likely explanation. In addition, free radicals can cause oxidative damage to periventricular white matter.
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Cystic and noncystic PVL are the two most common forms of periventricular leukomalacia. Grade II is marked by microscopic focal necrosis, whereas grade III is characterized by total tissue necrosis. Both types of lesions typically involve the fronto-parieto-occipital regions. In some cases, cysts may merge and cause a Swiss-chees pattern in the white matter.
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Premature infants with intraventricular hemorrhage are at greater risk for developing PVL, which is caused by brain tissue that has been damaged by a lack of blood flow. Infections are also common in newborn infants, and these conditions can also contribute to the development of PVL. For these reasons, proper care must be taken to identify any potential causes. However, in most cases, symptoms are not apparent until months or years after the occurrence of PVL.