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SUBPIAL HEMORRHAGE IN INFANTS

Nine cases of subpial hemorrhage were characterized by hematomas dissecting underneath the pia mater without evidence of hemorrhage into the subarachnoid space or into the brain parenchyma. All were of recent occurrence. Seven of the cases were premature babies with respiratory distress syndrome, one mature, the ninth a 13 month child. In five of the cases the subpial hemorrhages were over the temporal and parietal lobes, the rest cerebellar. Subpial hemorrhage may be a variant of the asphyetic leptomeningeal hemorrhages in respiratory distress syndrome, but it deserves recognition for its distinct features, pathogenesis and as a lesion which may entail local superficial cerebral siderosis.