Скачать или смотреть 🧠 Case Study 184 – Neonatal Intraventricular Hemorrhage (IVH)

🧠 Case Study 184 – Neonatal Intraventricular Hemorrhage (IVH)
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Meet Baby J, a 28-week preemie born via emergency C-section due to maternal preeclampsia. On day 3 of life, cranial ultrasound revealed a Grade III intraventricular hemorrhage — a serious but not uncommon complication in premature infants.⁠
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What is IVH?
Intraventricular hemorrhage is bleeding into the brain’s ventricular system, often due to fragile blood vessels in the germinal matrix, especially in babies born before 32 weeks gestation.⁠
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Grades I–IV:
➡️ Grade I–II: Mild, often resolves without long-term issues
➡️ Grade III: Ventricular enlargement due to blood accumulation
➡️ Grade IV: Bleeding into brain tissue — highest risk for neurodevelopmental impairment⁠
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Why it matters:
Early detection is crucial. Untreated, IVH can lead to hydrocephalus, seizures, motor deficits, or cognitive delays.
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Treatment:
🍼 Supportive NICU care
🧠 Monitoring head circumference & imaging
💉 Neurosurgical interventions (like shunt placement) if hydrocephalus develops⁠
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Takeaway:
Prematurity isn’t just about size — it’s about organ maturity, including the brain. Vigilant monitoring can make all the difference. 💙
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