Fukui K, Morioka T, Nishio S, Mihara F, Nakayama H, Tsukimori K, Fukui M
Department of Neurosurgery, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Neuroradiology. 2001 Jan;43(1):68-72. doi: 10.1007/s002340000488.
Subependymal germinal matrix haemorrhage and intraventricular haemorrhage (GMIVH) is a common complication of delivery in preterm neonates but has rarely been observed in the fetus. We report two cases of GMIVH in fetuses of 36 weeks gestation, clearly demonstrated by antenatal MRI. In both cases progressive ventriculomegaly was observed, and ventriculoperitoneal shunts were placed at 19 and 6 months of age, respectively. Prenatal GMIVH may be a cause of congenital hydrocephalus, for which no aetiology has yet been found.
室管膜下生发基质出血和脑室内出血（GMIVH）是早产儿分娩常见的并发症，但在胎儿中很少见。我们报告两例孕36周胎儿发生GMIVH的病例，产前MRI清晰显示。两例均观察到进行性脑室扩大，分别在19个月和6个月时进行了脑室腹腔分流术。产前GMIVH可能是先天性脑积水的一个原因，目前尚未发现其病因。
