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Germinal matrix hemorrhage - grade IV

Case contributed by Ryan Thibodeau
Diagnosis almost certain


25 week gestation pre-term twin with sudden deterioration and decrease in hematocrit.

Patient Data

Age: 3 days
Gender: Male

There is a moderately sized area of hemorrhage abutting the dilated left lateral ventricle.

Case Discussion

This is a case highly suggestive of a grade IV germinal matrix hemorrhage given the patient's gestational age and imaging findings.

Due to the extent of the hemorrhage, the patient was transitioned to comfort care and passed at 11 days old.

Alannah McCann
Travis Bevington, MD

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