Fetal intracranial hemorrhage (fetal stroke): does grade matter?

Elchalal, U.; Yagel, Simcha; Gomori, John M.; Porat, Shay; Beni‐Adani, Liana; Yanai, N.; Nadjari, M.

doi:10.1002/uog.1969

Cited by 100 publications

(133 citation statements)

References 31 publications

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“…We suggest that MRI can provide an accurate diagnosis of hemorrhage and predict prognosis depending on the degree and anatomic location of the bleeding. In this context, with the help of MRI timely treatment for a better prognosis can be achieved [27] . It should be pointed out that our sample size is limited and this prevents making a comprehensive description of the range of anomalies, the detection of which could be improved by MRI.…”

Section: Discussionmentioning

confidence: 99%

Contribution of MRI to Detect Further Anomalies in Fetal Ventriculomegaly

Yin

Chen

et al. 2009

Fetal Diagn Ther

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Objectives: The purpose of this study was to determine the contribution of magnetic resonance imaging (MRI) in detecting further anomalies in fetal ventriculomegaly (VM). Methods: From March 2006 to March 2008, fasting MRI scanning was performed on 70 women in whom ultrasonography (US) diagnosed fetal VM at Shengjing Hospital affiliated to the China Medical University. The US and MRIs were then compared. Result: US diagnosed 41 cases of unilateral VM and 29 cases of bilateral VM; 51 cases (72.86%) being mild, 17 cases moderate and 2 cases severe VM. Eight fetuses showed additional brain hemorrhage and other anomalies on MRI. Among these 8 cases, 1 (2.44%, 1/41) had unilateral VM, whereas 7 (24.13%, 7/29) had bilateral VM (Fisher’s exact test, p = 0.007). On the other hand, 2 of 8 cases (25%) had mild VM, whereas 6 of 8 cases (75%) had moderate/severe VM (Fisher’s exact test, p = 0.002). Conclusion: MRI mainly modified the US diagnoses when the fetus had bilateral VM or moderate/severe VM. The most common additional diagnosis was brain hemorrhage.

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Section: Discussionmentioning

confidence: 99%

Contribution of MRI to Detect Further Anomalies in Fetal Ventriculomegaly

Yin

Chen

et al. 2009

Fetal Diagn Ther

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“…Different scoring systems have been established to predict the outcome of IVH [25,26], depending mainly on the degree of VM, on IVH being uni- or bilateral and on the presence of adjacent brain damage.…”

Section: Localized Parenchymal Ischemic-hemorrhagic Lesionsmentioning

confidence: 99%

Main Congenital Cerebral Anomalies: How Prenatal Imaging Aids Counseling

Garel¹,

Moutard

2014

Fetal Diagn Ther

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The purpose of this article is to discuss some common cerebral lesions that may be detected during prenatal screening: corpus callosum dysgenesis, absent septum pellucidum, localized parenchymal ischemic-hemorrhagic lesions, megacisterna magna, Blake's pouch cyst, posterior fossa arachnoid cyst and Dandy-Walker malformation. For each cerebral defect, the main imaging findings are reminded, certain differential diagnoses are discussed and prenatal diagnostic accuracy is analyzed with emphasis on uncertainties encountered during analysis of ultrasound or magnetic resonance images. Detecting cerebral lesions in fetuses requires rapid counseling by neuropediatricians. Keeping in mind that the prenatal diagnostic accuracy is not 100%, the neuropediatricians have to answer the parents' questions regarding the outcome of the unborn child as well as the risk of recurrence for future pregnancies. This article is based on the authors' large experience in both prenatal imaging and neurocounseling. The frequently asked questions are set up. Answers are provided, underscoring the importance of an appropriate description of the cerebral defect, and therefore the pivotal role of prenatal imaging. However, prenatal neurocounseling remains challenging and the parents must be aware of uncertainties regarding both diagnostic accuracy and prognostic evaluation.

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“…7 In the neonate they are most frequently intraventricular, originating from germinal matrix, choroid plexus, or cerebral parenchyma, and intraparenchymal from periventricular white matter, thalamus, or arteriovenous malformation.…”

Section: Age-related Predilection Areasmentioning

confidence: 99%

“…The eight neonates with adverse neurological outcome had the two most severe forms of intraventricular bleeding (grade III and IV, bleeding from germinal matrix with extension more than 50% into the lateral ventricle and extension into parenchyma respectively). 7 Techniques and age-related normal development of brain structure…”

Section: Transient Changes or Permanent Damagementioning

confidence: 99%

Fetal brain monitoring: Future applications

Vries

2006

Seminars in Fetal and Neonatal Medicine

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Summary Future application of fetal brain monitoring is explored by selecting and analysing articles for information on types of brain damage that can be monitored, where in the brain this can be done, how long after the risk exposure, and with what method of investigation.A limited number ofdmainlydcase histories reported that early (cell death and oedema) and late (gliosis) effects of brain damage can be demonstrated before birth with multiplanar ultrasound and magnetic resonance imaging, and that hypoxic ischaemic injury or infection can induce local or widespread brain injury, occurring as transient or longer-lasting changes in age-related predilection areas for which normal features are known.The antenatal role of risk factors inducing abnormal brain development can be studied longitudinally with ultrasound and magnetic resonance imaging. A multidisciplinary approach will facilitate the introduction of various techniques with adequate know-how of underlying processes, to evaluate the predictive value on neurological outcome and prevent premature introduction into clinical application. ª

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Fetal intracranial hemorrhage (fetal stroke): does grade matter?

Abstract: Objective

Cited by 100 publications

References 31 publications

Contribution of MRI to Detect Further Anomalies in Fetal Ventriculomegaly

Contribution of MRI to Detect Further Anomalies in Fetal Ventriculomegaly

Main Congenital Cerebral Anomalies: How Prenatal Imaging Aids Counseling

Fetal brain monitoring: Future applications

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