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Grade IV fetal intracranial hemorrhage with good cognitive function

Erica T Ting1, Meredith R Golomb

  • 1Division of Pediatric Neurology, Department of Neurology, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.

Pediatric Neurology
|February 18, 2010
PubMed

Insights

A rare case of fetal intracranial hemorrhage (grade IV) diagnosed prenatally showed a positive outcome. Despite cerebral palsy, the child maintained normal cognition and verbal skills, highlighting the impact of perinatal care.

Area of Science:

  • Neurology
  • Obstetrics
  • Pediatrics

Background:

  • Prenatal diagnosis of fetal intracranial hemorrhage (FICH) is rare, with fewer than 200 reported cases.
  • Grade IV FICH typically leads to severe impairments in surviving children, including cognitive deficits.

Observation:

  • A case of grade IV FICH was diagnosed via ultrasound at 28 weeks gestation and confirmed with fetal MRI at 29 weeks.
  • The patient developed hemiplegic cerebral palsy and required a ventriculoperitoneal shunt.

Findings:

  • Despite the severity of the hemorrhage, the child demonstrated normal cognitive function and excellent verbal abilities at 27 months.
  • The patient did not experience seizures, which is a notable positive outcome.

Implications:

  • This case suggests that intensive perinatal care may positively influence neurodevelopmental outcomes in infants with severe FICH.
  • Further research into optimizing perinatal management strategies for FICH is warranted to improve long-term prognoses.

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