Fetal Intracranial Hemorrhage (Fetal Stroke): Report of Four Antenatally Diagnosed Casesand Review of the Literature

Huang, Ying-Fen; Chen, Wei-Chih; Tseng, Jenn-Jhy; Ho, Esther Shih-Chu; Chou, Min-Min

doi:10.1016/s1028-4559(09)60211-4

Cited by 36 publications

(25 citation statements)

References 12 publications

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“…Ventriculoperitoneal shunting postpartum in case of PHH constitutes an option to enable best as possible neurological development. 43,45 Due to the significant associated neonatal neurological impairment and potential medicolegal implications of antepartum fetal intracranial hemorrhage, it follows that obstetricians and sonographers should be familiar with predisposing factors and typical diagnostic imaging findings of these events. In addition to this, intrauterine fetal behavior visualized with 4D ultrasound can be successfully evaluated with the new Kurjak antenatal neurodevelopmental test (KANET), providing possibilities of prenatal diagnosis of fetal neurological impairment.…”

Section: Vein Of Galen Aneurysm Malformationmentioning

confidence: 99%

Surgically Correctable Fetal Anomalies: Ultrasound Diagnosis and Management

Honemeyer¹,

Zaputović²,

Turudic³

2012

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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A significant proportion of fetal anomalies are surgically correctable. Their accurate and reliable prenatal diagnosis is of great importance, and will have significant influence on both postnatal and postsurgical outcome. The influence of prenatal diagnosis of simple structural defects will interfere with organ development. In the light of recent achievements, traditional teratology has to be reexamined more critically.

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Section: Vein Of Galen Aneurysm Malformationmentioning

confidence: 99%

Surgically Correctable Fetal Anomalies: Ultrasound Diagnosis and Management

Honemeyer¹,

Zaputović²,

Turudic³

2012

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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“…The incidence varies from 20% to 60% of premature deliveries [3][4][5][6][7][8][9][10][11] and it has its greatest frequency in the small premature less than 30 weeks of gestation and 1,500 g birth weight [12,13].…”

Section: Introductionmentioning

confidence: 99%

Severe intra- and periventricular hemorrhage: role of arteriolosclerosis related to maternal smoke

2011

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Objective The authors aimed to describe the atherosclerotic lesions of the cerebral arterioles as a substrate of their rupture and bleeding. Methods The study was performed on the brain of nine Caucasian fetal victims of intra-and periventricular hemorrhage, all grade IV, and nine control cases. Results In the nine victims of hemorrhage, the arteriolar wall structure was altered, focally transformed into a deposit of amorphous eosinophilic material. Such changes often affected the full thickness of the wall causing rupture and hemorrhage. In eight of these cases and in two victims of the control group, the mothers were heavy cigarette smokers (15-20 cigarettes/day) before and during pregnancy. Conclusion The authors conclude that intra-and periventricular hemorrhage can be ascribed to the toxic effects of prenatal absorption of nicotine.

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“…The causes of fetal hydrocephalus are varied and have prognostic significance (5,32). In utero hydrocephalus as a consequence of identifiable hemorrhage has been well documented, the majority in the third trimester by readily identifiable hemorrhagic lesions (14,18,25,31,37). Cryptic intracerebral hemorrhage has been postulated as a cause of fetal hydrocephalus (8,10,12); however, by definition, it cannot be diagnosed by current ultrasound examination techniques.…”

Section: Introductionmentioning

confidence: 99%

Fetal Hydrocephalus Caused by Cryptic Intraventricular Hemorrhage

Lategan¹,

Chodirker

Bigio³

2010

Brain Pathology

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Cryptic intracerebral hemorrhage as an etiological factor in fetal hydrocephalus has been postulated but not described at autopsy. Four fetuses with overt hydrocephalus diagnosed by in utero ultrasound examination were examined at autopsy at 19-22 weeks gestation. Although a hemorrhagic etiology was not evident on ultrasound, hemosiderin-containing macrophages and associated reactive changes were found to obstruct the otherwise well-formed cerebral aqueduct in all four. Coagulopathy due to thrombocytopenia was implicated in one case. Anomalies involving other parts of the body were identified in two cases, although a direct link to the hydrocephalus was not obvious. The abnormality was isolated in one case. In three cases, possible sites of hemorrhage in the ventricles were identified. This abnormality represents a significant proportion of the fetuses examined for hydrocephalus in our referral center. We discuss the importance of careful autopsy examination in the diagnosis of cryptic intracerebral hemorrhage and the implications for counseling.

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Fetal Intracranial Hemorrhage (Fetal Stroke): Report of Four Antenatally Diagnosed Casesand Review of the Literature

Cited by 36 publications

References 12 publications

Surgically Correctable Fetal Anomalies: Ultrasound Diagnosis and Management

Surgically Correctable Fetal Anomalies: Ultrasound Diagnosis and Management

Severe intra- and periventricular hemorrhage: role of arteriolosclerosis related to maternal smoke

Fetal Hydrocephalus Caused by Cryptic Intraventricular Hemorrhage

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