You Sun Kyoung
Department of Radiology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea.
J Korean Neurosurg Soc. 2023 May;66(3):239-246. doi: 10.3340/jkns.2022.0277. Epub 2023 May 1.
Germinal matrix and intraventricular hemorrhage (GM-IVH) are the major causes of intracranial hemorrhage in premature infants. Cranial ultrasound (cUS) is the imaging modality of choice for diagnosing and classifying GM-IVH. Magnetic resonance imaging (MRI), usually performed at term-equivalent age, is more sensitive than cUS in identifying hemorrhage in the brain. Post-hemorrhagic ventricular dilatation is a significant complication of GM-IVH and correlates with adverse neurodevelopmental outcomes. In this review, we discuss the various imaging findings of GM-IVH in premature infants, focusing on the role of cUS and MRI.
生发基质和脑室内出血(GM-IVH)是早产儿颅内出血的主要原因。头颅超声(cUS)是诊断和分级GM-IVH的首选成像方式。磁共振成像(MRI)通常在足月等效年龄时进行,在识别脑内出血方面比cUS更敏感。出血后脑室扩张是GM-IVH的一种重要并发症,与不良神经发育结局相关。在本综述中,我们讨论早产儿GM-IVH的各种影像学表现,重点关注cUS和MRI的作用。