Sonographic Diagnosis of Fetal Intraventricular Hemorrhage: Report of Three Cases and Review of the Literature
Vinicius de Sousa Carvalho, Marília da Glória Martins, Lívia Teresa Moreira Rios, Edward Araujo Júnior, Lorena Borges Duailibe de Deus, Liliam Cristine Rolo, Luciano Marcondes Machado Nardozza and Antonio Fernandes Moron
Affiliation: Department of Obstetrics, Federal University of São Paulo (UNIFESP), Rua Carlos Weber, 956 apto. 113 Visage, Alto da Lapa, São Paulo – SP, CEP 05303-000, Brazil.
The aim was to describe our experience in three cases of fetal intracranial hemorrhage (ICH) diagnosed
prenatally. This was a retrospective and descriptive study between 2007 and 2010 that included analysis on three cases of
ICH from our prenatal care based on information in the records (medical history and imaging studies). One fetus died in
utero at 35 weeks of pregnancy and had ICH classified as grade IV. In another case, birth occurred prematurely, at 28
weeks; this newborn died 36 hours after birth and was also classified as ICH grade IV. The third case was born at term,
but transfontanellar ultrasound showed a serious cerebral lesion compatible with encephalomalacia. The cases of ICH
diagnosed prenatally had poor prognosis due to serious cerebral lesions. Diagnosing ICH prenatally is important for
counseling the parents about the poor neonatal prognosis. The short-term postnatal outcome in cases of ICH is usually
poor for fetuses with high-grade and/or progressive lesions.
Keywords: Fetus, intracranial hemorrhage, prenatal diagnosis.
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