RT Book, Section
A1 Bianchi, Diana W.
A1 Crombleholme, Timothy M.
A1 D'Alton, Mary E.
A1 Malone, Fergal D.
SR Print(0)
ID 1106396587
T1 Intracranial Hemorrhage
T2 Fetology: Diagnosis and Management of the Fetal Patient, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-144201-5
LK obgyn.mhmedical.com/content.aspx?aid=1106396587
RD 2024/04/20
AB Key  PointsFetal  intracranial  hemorrhage  is  generally  diagnosed  in  the  late  second  trimester  as  an  asymmetric  echogenic  mass  within  the  ventricles,  mostly  associated  with  some  degree  of  ventriculomegaly.Causes  to  be  considered  include  drug  use  (warfarin,  cocaine),  alloimmune  thrombocytopenia,  coagulation  disorders,  or  trauma.Grading  of  severity  uses  a  similar  scale  to  that  for  neonatal  intraventricular  hemorrhage  (IVH),  with  prognosis  being  quite  poor  for  most  cases  of  Grades  III  or  IV  IVH.The  only  specific  treatment  relates  to  situations  in  which  the  underlying  cause  is  alloimmune  thrombocytopenia,  where  aggressive  therapy  with  IVIG  and  steroids  in  subsequent  pregnancies  may  minimize  recurrence.