Vol 80, No 10 (2009)

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Fetal ventriculomegaly secondary to germinal matrix hemorrhage – case report

Alicja Gajewska, Marta Paliga-Żytniewska, Piotr Bodzek, Izabela Herman-Sucharska, Helena Sławska, Ewa Oleś, Anita Olejek, Jacek Zamłyński
Ginekol Pol 2009;80(10).


Summary A germinal matrix is an area of the fetal brain where neuroblasts proliferate till the 20th week of gestation after which their migration takes place. Germinal matrix hemorrhage (GMH) is a frequent cause of fetal ventriculomegaly or hydrocephalus, yet the pathophysiological conditions of GMH remain unclear. A case of fetal ventriculomegaly resulting from GMH has been reported in the article. A prenatal ultrasonographic examination (US) carried out in the 30th week of gestation revealed enlarged ventricles. Utero magnetic resonance imaging (MRI) performed in the 34th week of gestation demonstrated asymetric ventriculomegaly and the changes suggesting the occurance of GMH and ependymal intraventricular hemmorrhage. Fetal ventriculomegaly and hydrocephalus are commonly detected by ultrasonographic examination, but it is often difficult to determine the causes of the diseases by US. In these cases MRI allows to establish the final diagnosis.

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