Periventricular leukomalacia (PVL)

Case contributed by Hani Makky Al Salam
Diagnosis certain

Presentation

Premature baby boy, 26 weeks GA

Patient Data

Age: Neonate
Gender: Male

Transcranial

ultrasound

On 3 days old, there is bilateral periventricular echogenic area related to body of lateral ventricles, more prominent on left side.

On 14 days old, partial cystic changes are seen within the periventricular lesions.

On 8 weeks old, obvious cystic changes are seen, larger on left side.

Features of periventricular leukomalacia (PVL).

Brain MRI (at 6 weeks old)

mri

Bilateral cystic changes involving periventricular white matter along body of both lateral ventricles. Features of periventricular leukomalacia (PVL).

Case Discussion

Ultrasound and MRI studies show the progression of periventricular encephalomalacia.

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