四级胎儿颅内出血，认知功能良好。

Grade IV fetal intracranial hemorrhage with good cognitive function.

机构信息

Division of Pediatric Neurology, Department of Neurology, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA.

出版信息

Pediatr Neurol. 2010 Mar;42(3):231-3. doi: 10.1016/j.pediatrneurol.2009.10.005.

DOI:10.1016/j.pediatrneurol.2009.10.005

PMID:20159437

Abstract

Fewer than 200 cases of prenatally diagnosed magnetic resonance imaging-confirmed fetal intracranial hemorrhage have been reported. Children surviving grade IV fetal intracranial hemorrhage usually manifest severe impairments, including mental retardation. We report on a child with a grade IV intracranial hemorrhage diagnosed by in utero ultrasound at 28 weeks of gestation, and confirmed by fetal magnetic resonance imaging at 29 weeks of gestation. At age 27 months, she has a ventriculoperitoneal shunt and exhibits hemiplegic cerebral palsy, but without seizures, and with normal cognitive function and excellent verbal ability. We discuss how perinatal care may have contributed to her good outcome.

摘要

据报道，经产前磁共振成像确诊的胎儿颅内出血病例不足 200 例。存活的 IV 级胎儿颅内出血患儿通常表现出严重的损害，包括智力迟钝。我们报告了一例在妊娠 28 周时通过宫内超声诊断为 IV 级颅内出血的患儿，并在妊娠 29 周时通过胎儿磁共振成像得到证实。在 27 个月时，她接受了脑室-腹腔分流术，表现为偏瘫性脑瘫，但无癫痫发作，认知功能正常，言语能力出色。我们讨论了围产期护理如何有助于她获得良好的结局。