Presentation
Weak cry and impaired sucking
Patient Data
Subependymal haemorrhage extends to both lateral ventricles with formation of CSF/Blood level at occipital horns. Associated periventricular leukomalacia (PVL) more on the left side and moderate dilatation of all ventricular system are noted.
Diagnosis: Germinal matrix haemorrhage Grade III with communicating hypdrocephalus and periventricular leukomalacia
Case Discussion
Germinal matrix usually disappears after 32 weeks of gestations and hence persists in premature children. It has weak blood vessels which in response to ischaemia rupture leading to haemorrhage. The haemorrhage may be localised at subependymal region (Grade I) or extends to the lateral ventricles without hyrocephalus (Grade II) or with hydrocephalus (Grade III) or extends to brain parenchyma (Grade IV)
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