Grade 1 germinal matrix hemorrhage

Case contributed by Dennis Odhiambo Agolah
Diagnosis almost certain

Presentation

Routine screening. Preterm neonate born with low birth weight.

Patient Data

Age: 2 Days
Gender: Female
ultrasound

Conspicuously increased reflectivity and density at the right caudothalamic groove (pointed with arrows in the para-sagittal plane). The left caudothalamus and caudothalamic groove is normal and maintain its y-shape appearance. The rest of the thalami, mid-brain and the brain stem, ventricles, corpus callosum and the singulate gyrus, cerebellum, cavum septum pellucidum and the periventricular white matter are uneventful. No subdural effusion.

Case Discussion

Sonographic features consistent with a right-sided grade I (Germinal matrix hemorrhage a.k.a Periventricular hemorrhage or Caudothalamic hemorrhage).

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