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Never visited GERMINAL MATRIX HEMORRHAGE Certified Random Case
Authored By: Ed Weinberger, Radiologist
Patient: 6 month old
History: Seizures, intraventricular hemorrhage, term infant.
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Fig. 1: MR axT1

Fig. 2: MR axT2

Fig. 3: MR axT1

Fig. 4: MR axT2

Fig. 5: MR axT1

Fig. 6: MR axT2

Fig. 7: MR axT1

Fig. 8: MR axT2

Fig. 9: MR sagT1

Fig. 10: MR sagT1

Fig. 11: MR sagT1

Fig. 12: MR sagT1

Fig. 13: MR ax GRE sequence showing hemorrhage

Fig. 14: MR corT1 showing blood product in the lateral and 4th ventricles as well as foramina of Lushka
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Findings: There is intraventricular hemorrhage noted which is principally isointense to brain on T1-weighted sequence with a peripheral rim of high signal, and low in signal on T2-weighted sequence, most consistent with subacute hemorrhage. Blood products are seen within both lateral ventricles, the third and fourth ventricles, and within the foramen of Luschka. Hemorrhagic products are also noted within the cavum septum vergae.

Hemorrhagic intraventricular products are contiguous with a triangular focus of blood products within the left caudothalamic notch, which measures approximately 1 cm. This suggests that the origin of the hemorrhage is from a germinal matrix hemorrhage.
Diagnosis: Findings most consistent with a germinal matrix hemorrhage, which is unusual in a term infant, which appears to arise from the left caudothalamic groove. Blood products are seen within all of the ventricles, and there is moderate dilatation of the left lateral ventricle, mild dilatation of the right lateral ventricle, and a borderline prominent third ventricle. Subtle band of high T2-FLAIR signal around the posterior aspect of the left lateral ventricle may represent transependymal flow of cerebrospinal fluid.
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Additional Details:

Case Number: 1566565Last Updated: 05/05/2004
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Anatomy: Cranium and Contents   Pathology: Hematological
Modality: MRAccess Level: Readable by all users
Keywords: germinal matrix hemorrhageNever visited You are viewing this case for the first time. Case has been viewed 430 times.
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