症例 challenge · Imaging / Fetal medicine / Prenatal diagnosis · teaching

Fetal Intracranial Hemorrhage (IVH Grading) · case challenge

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Case #1Imaging / Fetal medicine / Prenatal diagnosis

📋 Case data

Hemorrhage site/grade (Papile) + causeGrade III–IV (IVH + ventricular dilation / periventricular hemorrhagic infarction PVHI)

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Step 1 / 1 · Hemorrhage site/grade (Papile) + cause

Hemorrhage site/grade (IVH Papile) + cause?

💡 Fetal intracranial hemorrhage. MRI: SWI/T2*-GRE most sensitive for blood, T1-high/T2-low blood breakdown products. IVH grading (as in preterm Papile): I germinal matrix, II IVH without ventricular dilation, III IVH + ventricular dilation, IV periventricular hemorrhagic infarction (PVHI). Causes to check: fetomaternal alloimmune thrombocytopenia (FNAIT), maternal ITP, coagulation/thrombophilia, trauma, TTTS, CMV, COL4A1.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.