Germinal matrix hemorrhage - grade I

Case contributed by Ahmed Abdrabou


Preterm baby ( 31 weeks gestation ) with poor sucking and weak crying

Patient Data

Age: 13 days
Gender: Female

Left subependymal oval shape hematoma with averagey density of 65 HU seen adjacent to foramen of Monroe. No evidence of ventricular dilatation or intraventricular extension. Another smaller subepedymal hematoma seen at trigone of right lateral ventricle.

Diagnosis: Grade I germinal matrix hemorrhage

Case Discussion

Germinal matrix is subependymal weak neural tissue that is sensitive to ischemia which may lead to hemorrhage. Usually it involutes after 32 weeks of gestation. Grading of germinal matrix hemorrhage depends on its ventricular or parenchymal extension.

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