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논문 기본 정보

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학술저널
저자정보
Suhra Kim (Department of Obstetrics and Gynecology, Institute of Women’s Medical Life Science, Yonsei University College of Medicine) Yun Ji Jung (Department of Obstetrics and Gynecology, Institute of Women’s Medical Life Science, Yonsei University College of Medicine) Jiwon Baik (Department of Obstetrics and Gynecology, Institute of Women’s Medical Life Science, Yonsei University College of Medicine) Hayan Kwon (Department of Obstetrics and Gynecology, Institute of Women’s Medical Life Science, Yonsei University College of Medicine) JoonHo Lee (Department of Obstetrics and Gynecology, Institute of Women’s Medical Life Science, Yonsei University College of Medicine) Ja-Young Kwon (Department of Obstetrics and Gynecology, Institute of Women’s Medical Life Science, Yonsei University College of Medicine) Young-Han Kim (Department of Obstetrics and Gynecology, Institute of Women’s Medical Life Science, Yonsei University College of Medicine)
저널정보
대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science Vol.67 No.4
발행연도
2024.7
수록면
393 - 403 (11page)
DOI
10.5468/ogs.24097

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Objective To assess prenatal ultrasonographic findings and postnatal outcomes in fetuses with intracranial hemorrhage (ICH). Methods This retrospective study included fetuses prenatally diagnosed with ICH between December 2012 and August 2023. Maternal characteristics, prenatal ultrasonographic findings, and postnatal outcomes were reviewed. Results Twenty-seven fetuses with ICH were reviewed. Intracranial hemorrhage was classified as grade 3 and 4 in 24 fetuses. Twenty-two fetuses had ICH, four had ICH with subdural hemorrhage, and one had ICH with subarachnoid hemorrhage. Ventriculomegaly was the most common ultrasonographic finding, and was observed in 22 of the 27 (81.5%) fetuses. Seven fetuses were lost to follow-up, and four intrauterine fetal deaths occurred. The remaining 16 fetuses were delivered at a median gestational age of 35+2 weeks. The infants were followed-up for 40.1 months (range, 4-88). Nine of the 16 infants underwent ventriculoperitoneal placement. One infant underwent brain surgery for severe epilepsy. Motor impairment, including cerebral palsy, was observed in 13 infants (81.2%). Neurologic impairment occurred in six infants (37.5%), developmental delay in nine (56.2%), and epilepsy in 11 (68.7%). Conclusion Fetal ICH is a rare complication diagnosed during pregnancy, which results in subsequent fetal neurological sequelae or death. This study demonstrated that the common ultrasonographic findings in fetal ICH were progressive ventriculomegaly and increased periventricular echogenicity. Fetuses diagnosed with prenatal ICH, especially those affected by higher-grade ICH, may be at an increased risk of long-term neurodevelopmental problems.
#Nervous system malformations #Intracranial hemorrhages #Prenatal diagnosis #Ultrasonography

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