Periventricular leukomalacia (PVL)

Case contributed by Hani M. Al Salam
Diagnosis certain

Presentation

Premature baby boy, 26 weeks GA

Patient Data

Age: Neonate
Gender: Male

Transcranial

ultrasound
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3 days
old
This study is a stack
3 days
old
This study is a stack
14 days
old
This study is a stack
14 days
old
This study is a stack
8 weeks
old
This study is a stack
8 weeks
old
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Info

On 3 days old, there is bilateral periventricular echogenic area related to body of lateral ventricles, more prominent on left side.

On 14 days old, partial cystic changes are seen within the periventricular lesions.

On 8 weeks old, obvious cystic changes are seen, larger on left side.

Features of periventricular leukomalacia (PVL).

Brain MRI (at 6 weeks old)

mri
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Axial
T1
This study is a stack
Axial
T2
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Sagittal
T1
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Axial
Gradient Echo
This study is a stack
Axial
T1
This study is a stack
Coronal
T2
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Info

Bilateral cystic changes involving periventricular white matter along body of both lateral ventricles. Features of periventricular leukomalacia (PVL).

Case Discussion

Ultrasound and MRI studies show the progression of periventricular encephalomalacia.

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