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 2024/10/10 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.