Abstract
We report a case of germinal matrix intraventricular hemorrhage (GMIVH) diagnosed
antenatally at 30 weeks of gestation. The pregnancy was continued with close monitoring
up to 37 weeks of gestation. A healthy baby was delivered and had normal neurological
development after 8 months of postnatal follow-up. GMIVH, though common in premature
neonates, is rarely seen in fetal life. Diagnosis is possible by prenatal ultrasound
usually in the third trimester. Tomographic ultrasound imaging is a useful alternative
to fetal MRI in assessing the extent of parenchymal involvement. The findings on imaging
studies can elude the correct diagnosis if the lesion is not observed over a period
of time and can often be misdiagnosed as choroid plexus tumors. Severe hemorrhage
with gross hydrocephalus can impair the neurological development of the child. However,
if the hemorrhage is confined to the ventricles and there is no serious underlying
etiology, it is likely to resolve spontaneously leaving no significant neurological
sequelae. Counseling the parents is of utmost importance to avoid any medico-legal
issues.
Keywords
Germinal matrix hemorrhage - Germinal matrix intraventricular hemorrhage - Choroid
plexus lesions - Intracerebral hemorrhage - Asymmetrical hydrocephalus
