Abstract
Differential diagnosis of intrauterine hydrocephalus includes various types of cerebral malformations. In about 30% of cases the pathogenesis remains unknown. During 1983–1985 we diagnosed intrauterine posthaemorrhagic hydrocephalus (IPHH) in four newborns. In three of the reported cases intraventricular haemorrhage (IVH) could already be proven in the fetus. Due to these observations, IPHH has to be considered with the differential diagnosis of congenital hydrocephalus. Haemorrhagic diathesis and multiple pregnancy are discussed as possible risk factors for this severe fetal complication.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Abbreviations
- IPHH:
-
intrauterine posthaemorrhagic hydrocephalus
- IVH:
-
intraventricular haemorrhage
- CSF:
-
cerebrospinal fluid
- HMD:
-
hyaline membrane disease
- PHH:
-
posthaemorrhagic hydrocephalus
- P1A1:
-
platelet A1 (antigen)
References
Bay C, Kerzin L, Hall B (1979) Recurrence risk in hydrocephalus. Birth Defects 15:95–105
Brand M, Saling E (1984) Präpartuale Diagnostik intracranieller Blutungen. In: Dudenhausen JW, Saling E (eds) Perinatale medizin, vol X. Thieme, Stuttgart New York, pp 310–311
Bryan EM (1986) The intrauterine hazards of twins. Arch Dis Child 61:1044–1045
Jackson JC, Blumhagen JD (1983) Congenital hydrocephalus due to prenatal intracranial hemorrhage. Pediatrics 72:344–346
Kim MS, Elyaderani MK (1982) Sonographic diagnosis of cerebroventricular hemorrhage in utero. Radiology 142:479–480
McCullough DC, Balzer-Martin LA (1982) Current prognosis in overt neonatal hydrocephalus. J Neurosurg 57:378–383
McDonald MM, Johnson ML, Rumack CM, Koops BL, Guggenheim MA, Babb C, Hathaway WE (1984) Role of coagulopathy in newborn intracranial hemorrhage. Pediatrics 74: 26–31
Pfeiffer KH, Leidig E (1985) Präpartaler sonographischer Nachweis einer fetalen Hirnblutung. Arch Gynecol 238:187–189
Schmid G, Emons D, Kowalewski S (1986) Intraventrikuläre Hirnblutung des Feten als Ursache eines konnatalen Hydrozephalus. Monatsschr Kinderheilkd 134:470–472
Vintzileos AM, Ingardia CJ, Nochimson DJ (1983) Congenital hydrocephalus: a review and protocol for perinatal management. Obstet Gynecol 62:539–549
Whitelaw A, Haines ME, Bolsover W, Harris E (1984) Factor V deficiency and antenatal intraventricular hemorrhage. Arch Dis Child 59:997–999
Zalneraitis EL, Young RSK, Krishnamoorthy KS (1979) Intracranial hemorrhage in utero as a complication of isoimmune thrombocytopenia. J Pediatr 95:611–614
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Leidig, E., Dannecker, G., Pfeiffer, K.H. et al. Intrauterine development of posthaemorrhagic hydrocephalus. Eur J Pediatr 147, 26–29 (1988). https://doi.org/10.1007/BF00442606
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00442606