Germinal matrix hemorrhage - grade 3

Case contributed by A.Prof Frank Gaillard
Ultrasound

Sagittal transcranial ultrasound demonstrates echogenic material in the ventricles and at the caudothalamic groove consistent with grade 3 subependymal hemorrhage

Sagittal and axial CT images demonstrate blood in the ventricles and at the left caudothalamic groove consistent with grade 3 subependymal hemorrhage

Case Discussion

Grading of germinal matrix hemorrhage is simple and prognostically important:

  • grade I
    • restricted to subependymal region
  • grade II
    • extension into normal-sized ventricles
  • grade III
    • extension into dilated ventricles
  • grade IV
    • same as grade III but with parenchymal hemorrhage
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Case information

rID: 6261
Published: 19th May 2009
Last edited: 12th Nov 2019
Inclusion in quiz mode: Included

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