Hydrops of a fetus of unknown etiology with the development of severe intracranial hemorrhage

Czech version

Authors: Anna Brandejsová; Hynek Heřman ; Petra Hanulíková; Lubomír Hašlík ; Alexandra Regendová; Ladislav Krofta ; L. Feyereisel
Authors‘ workplace: Ústav pro péči o matku a dítě, Praha
Published in: Ceska Gynekol 2024; 89(6): 479-481
Category: Case Report
doi: https://doi.org/10.48095/cccg2024479

Overview

Prenatally diagnosed intracranial hemorrhage in the fetus is associated with a wide range of neonatal disorders, from completely uncomplicated physiological development to severe neurological impairment or death. The incidence is 0.6–1/1,000 births. Intracranial hemorrhage, depending on the anatomical location, is classified as intraventricular, intracerebral, cerebral, subarachnoid, and subdural. In this case report, we describe a rare case of spontaneous intracranial hemorrhage in a fetus monitored for hydrops and pregnancy complicated by polyhydramnios. A literature research was carried out. In the discussion, we present the diagnostic algorithm and the results of the examinations performed. To complete the case report, we add information about the management of childbirth and early death of the newborn.

Keywords:

fetal hydrops – hematoma – intracranial hemorrhage – subdural hematoma – polyhydramnios – fetal anemia – early neonatal death

Sources

1. Horgan R, Youssef JA, Levy AT et al. Etiology and outcome of isolated fetal ascites: a systematic review. Obstet Gynecol 2021; 138 (6): 897–904. doi: 10.1097/AOG.0000000000004605.

2. Lam AH, Cruz GB. Ultrasound evaluation of subdural haematoma. Australas Radiol 1991; 35 (4): 330–332. doi: 10.1111/j.1440-1673.1991.tb03040.x.

3. Griffiths PD, Bradburn M, Campbell MJ et al. MERIDIAN collaborative group. Use of MRI in the diagnosis of fetal brain abnormalities in utero (MERIDIAN): a multicentre, prospective cohort study. Lancet 2017; 389 (10068): 538–546. doi: 10.1016/S0140-6736 (16) 31723-8.

4. Cheung KW, Tan LN, Seto MT et al. Prenatal diagnosis, management, and outcome of fetal subdural haematoma: a case report and systematic review. Fetal Diagn Ther 2019; 4 (5): 285–295. doi: 10.1159/000496202.

ORCID autorů

H. Heřman 0000-0001-5732-3159

L. Hašlík 0000-0002-3416-8106

L. Krofta 0000-0001-7372-3953

Doručeno/Submitted: 28. 7. 2024

Přijato/Accepted: 30. 7. 2024

MUDr. Anna Brandejsová

Ústav pro péči o matku a dítě

Podolské nábřeží 157/36

143 00 Praha 4

anna.brandejsova@upmd.eu