Cerebral artery reverse flow as an indicator of critical intracranial hypertension in fetal intracranial hemorrhage: Case report.

IF 0.6 4区 医学 Q4 ENDOCRINOLOGY & METABOLISM
Neuro endocrinology letters Pub Date : 2023-03-08
Petra Turnova, Maros Rudnay, Sara Bargerova, Svetlana Janosova, Kamil Hatiar, Natasa Martinaskova, Peter Krcho, Róbert Dankovčík
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引用次数: 0

Abstract

Objective: Intracranial hemorrhage (ICH) is a rare serious fetal event. It manifests via non-specific sonographic findings such as: ventriculomegaly, increased periventricular echogenity, hyperechogenic ependyma and presence of avascular intracranial masses. Severe ICH causes an increase in fetal intracranial pressure, which can be quantified in utero by the presence of reverse flow in the middle cerebral artery (MCA-REDF). Retrograde flow in the middle cerebral artery indicates already deteriorating circulatory conditions in the fetal brain with loss of autoregulatory mechanisms and critical damage to the vascular supply. Detection of this finding allows to improve the diagnosis of ICH and also affects the prognosis and management of pregnancy. We report the case of critical intracranial hypertension in fetal intracranial hemorrhage manifested by cerebral artery reverse flow.

脑动脉逆流作为胎儿颅内出血重症颅内高压的指标:1例报告。
目的:颅内出血是一种罕见的严重胎儿事件。它通过非特异性超声表现表现为:脑室肿大,脑室周围回声增强,室管膜高回声和颅内无血管肿块的存在。严重的脑出血导致胎儿颅内压升高,颅内压可在子宫内通过大脑中动脉逆流(MCA-REDF)进行量化。大脑中动脉逆行血流表明胎儿大脑循环状况已经恶化,自身调节机制丧失,血管供应严重受损。发现这一发现可以改善脑出血的诊断,也影响妊娠的预后和管理。我们报告以脑动脉逆流为表现的胎儿颅内出血的重症颅内高压病例。
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来源期刊
Neuro endocrinology letters
Neuro endocrinology letters 医学-内分泌学与代谢
CiteScore
1.00
自引率
14.30%
发文量
24
审稿时长
6 months
期刊介绍: Neuroendocrinology Letters is an international, peer-reviewed interdisciplinary journal covering the fields of Neuroendocrinology, Neuroscience, Neurophysiology, Neuropsychopharmacology, Psycho­neu­ro­immunology, Reproductive Medicine, Chro­no­biology, Human Ethology and re­lated fields for RAPID publication of Original Papers, Review Articles, State-of-the-art, Clinical Reports and other contributions from all the fields covered by Neuroendocrinology Letters. Papers from both basic research (methodology, molecular and cellular biology, anatomy, histology, biology, embryology, teratology, normal and pathological physiology, biophysics, pharmacology, pathology and experimental pathology, biochemistry, neurochemistry, enzymology, chronobiology, receptor studies, endocrinology, immunology and neuroimmunology, animal phy­siology, animal breeding and ethology, human ethology, psychology and others) and from clinical research (neurology, psychiatry and child psychiatry, obstetrics and gynecology, pediatrics, endocrinology, immunology, cardiovascular studies, internal medicine, oncology and others) will be considered. The Journal publishes Original papers and Review Articles. Brief reports, Special Communications, proved they are based on adequate experimental evidence, Clinical Studies, Case Reports, Commentaries, Discussions, Letters to the Editor (correspondence column), Book Reviews, Congress Reports and other categories of articles (philosophy, art, social issues, medical and health policies, biomedical history, etc.) will be taken under consideration.
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