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Prenatal intracranial haemorrhage.

H F Stirling1, M Hendry, J K Brown

  • 1Royal Hospital for Sick Children, Edinburgh.

Developmental Medicine and Child Neurology
|December 1, 1989
PubMed
Summary

Ultrasound diagnosed fetal intracranial bleeding and guided postnatal management, including cerebrospinal fluid drainage and shunt placement. This case highlights ultrasound

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Area of Science:

  • Neonatal Neurology
  • Pediatric Radiology
  • Fetal Medicine

Background:

  • Intracranial hemorrhage in neonates poses significant management challenges.
  • Choroid plexus bleeding can lead to severe neurological complications.
  • Accurate diagnostic tools are crucial for timely intervention.

Observation:

  • Antenatal diagnosis of intracranial bleeding was achieved via ultrasound.
  • Postnatal ultrasound confirmed bleeding extent and associated hydrocephalus.
  • Doppler flow studies indicated compromised cerebral blood flow.

Findings:

  • Ultrasound was instrumental in diagnosing choroid plexus bleeding antenatally.
  • Serial ultrasounds guided postnatal management, including ventriculostomy and shunt monitoring.
  • Cerebrospinal fluid removal and pressure monitoring were essential interventions.

Implications:

  • This case underscores the critical role of ultrasound in managing neonatal intracranial hemorrhage.
  • Ultrasound facilitates comprehensive care from prenatal diagnosis to postnatal intervention.
  • Effective management strategies can mitigate neurological sequelae in affected infants.

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