Acta Scientific PAEDIATRICS (ISSN: 2581-883X)

Case Report Volume 5 Issue 12

Rare Case of Spontaneous Fetal Massive Intracranial Bleed

Yaser El Saba*, Muzammil Hafeez, Mustafa Bolkini, Niyas Ambadi and Moustafa Hassan

Department of NICU, Dubai Hospital, Dubai, UAE

*Corresponding Author: El Saba, Department of NICU, Dubai Hospital, Dubai, UAE.

Received: October 10, 2022; Published: November 30, 2022

Abstract

Fetal intracranial hemorrhage is a rare complication diagnosed during pregnancy with subsequent neonatal neurological morbidities or neonatal mortality. Intracranial hemorrhage is most commonly identified prenatally as intraventricular hemorrhage (IVH), although hemorrhage can occur in other sites such as cerebellar, subdural, primary subarachnoid and miscellaneous intraparenchymal hemorrhages. The detection of fetal intracranial hemorrhage has increased due to the improvement in imaging technology. There are varied etiologies of intracranial hemorrhage occurring prenatally, but in many cases, etiology remains unidentified. The outcome depends on the etiology, timing and the severity of fetal intracranial hemorrhage. Here we report a case of preterm baby born at 32 weeks who was diagnosed prenatally to have fetal intracranial hemorrhage with no obvious determined cause and managed by surgical evacuation.

Keywords: Spontaneous Fetal; Massive Intracranial Bleed; Etiology

References

  1. Elchalal U., et al. “Fetal intracranial hemorrhage (fetal stroke): does grade matter?” Ultrasound in Obstetrics and Gynecology 26 (2005): 233-243.
  2. Vergani P., et al. “Clinical significance of fetal intracranial hemorrhage”. American Journal of Obstetrics and Gynecology 175 (1996): 536-543.
  3. Lichtenbelt KD., et al. “Prenatal genetic confirmation of a COL4A1 mutation presenting with sonographic fetal intracranial hemorrhage”. Ultrasound in Obstetrics and Gynecology 39 (2012): 726-727.
  4. Vermeulen RJ., et al. “Fetal origin of brain damage in 2 infants with a COL4A1 mutation: fetal and neonatal MRI”. Neuropediatrics 42 (2011): 1-3.
  5. De Reuck JL. “Cerebral angioarchitecture and perinatal brain lesions in premature and full-term infants”. Acta Neurologica Scandinavica 70 (1984): 391-395.
  6. Strigini FA., et al. “Fetal intracranial hemorrhage: is minor maternal trauma a possible pathogenetic factor?” Ultrasound in Obstetrics and Gynecology 18 (2001): 335-342.
  7. Vergani P., et al. “Clinical significance of fetal intracranial hemorrhage”. American Journal of Obstetrics and Gynecology 175 (1996): 536-543.
  8. Atlas SW and Thulborn KR. Intracranial hemorrhage. “In Magnetic Resonance Imaging of the Brain and Spine, 3rd edition”. Lippincott Williams and Wilkins: Philadelphia, Pa (2002): 773-832.
  9. Kutuk MS., et al. “Prenatal diagnosis and postnatal outcome of fetal intracranial hemorrhage”. Child's Nervous System30 (2014): 411-418.
  10. Ghi T., et al. “Outcome of antenatally diagnosed intracranial hemorrhage: case series and review of the literature”. Ultrasound in Obstetrics and Gynecology 22 (2003): 121-130.
  11. Lynch JK., et al. “Report of the National Institute of Neurological Disorders and Stroke workshop on perinatal and childhood stroke”. Pediatrics 109 (2002): 116-123.
  12. Sherer DM., et al. “Antepartum fetal intracranial hemorrhage, predisposing factors and prenatal sonography: a review”. American Journal of Perinatology 15 (1998): 431-441.
  13. De Laveaucoupet J., et al. “Fetal magnetic resonance imaging (MRI) of ischemic brain injury”. Prenatal Diagnosis 21 (2001): 729-736.
  14. Frank DA., et al. “Level of in utero cocaine exposure and neonatal ultrasound findings”. Pediatrics 104 (1999): 1101-1105.
  15. Lustig-Gillman I., et al. “Fetal intraventricular hemorrhage: sonographic diagnosis and clinical implications”. Journal of Clinical Ultrasound 11 (1983): 277-28018.
  16. Matturri L., et al. “Severe intra- and periventricular hemorrhage: role of arteriolosclerosis related to maternal smoke”. Child's Nervous System 27 (2011): 1979-1983.
  17. Portman MA and Brouillette RT. “Fetal intracranial hemorrhage complicating amniocentesis”. American Journal of Obstetrics and Gynecology 144 (1982): 731-733.
  18. Bondurant S., et al. “Antepartum diagnosis of fetal intracranial hemorrhage by ultrasound”. Obstetrics and Gynecology 63 (1984): 25-27.
  19. Scher MS., et al. “Destructive brain lesions of presumed fetal onset: antepartum causes of cerebral palsy”. Pediatrics 88 (1991): 898-906.
  20. Sell M., et al. “Congenital glioblastoma multiforme with abnormal vascularity presenting as intracranial hemorrhage in prenatal ultrasound”. Child's Nervous System 22 (2006): 729-733.

Citation

Citation: Yaser El Saba., et al. “Rare Case of Spontaneous Fetal Massive Intracranial Bleed". Acta Scientific Paediatrics 5.12 (2022): 25-31.

Copyright

Copyright: © 2022 Nasibova EM., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Impact Factor1.197

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