Neonatal intracranial hemorrhage - grade 3

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Traumatic delivery. Right sided seizure.

Patient Data

Age: 4 days
Gender: Male

Both lateral ventricles are dilated and lined by echogenic material with more confluent echogenic change in dependant portions. Feautres here are of grade 3 germinal matrix hemorrhage.

Case Discussion

Germinal matrix hemorrhage is the leading cause of intraventricular hemorrhage in neonates and can be graded into 4 grades. Grade 3 IVH represents hemorrhage into the ventricular system that results in dilatation.

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