Intraventricular haemorrhage in a newborn

Abstract

We report a 36-h-old very low birth weight female baby (Birth weight 1.1 kg) who was delivered at 29-week gestation. She developed respiratory distress at 4 h of life, in addition to reduced activity, recurrent apnoea, tensed anterior fontanel, progressively increasing occipitofrontal circumference and dramatic fall in haematocrit. Baseline Transfontanelle ultrasound scan (TFUSS) showed blood in the lateral ventricle extending to the parietal cortex with ventricular enlargement of >50%. Repeat TFUSS at 8 weeks showed Grade 3 periventricular leucomalacia.