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Journals / Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi / 2026 / Cilt: 19 Sayı: 1

Fetal intracranial hemorrhage: prenatal imaging findings and postnatal clinical outcome

Fetal intrakraniyal kanama: prenatal görüntüleme bulguları ve postnatal klinik sonuçlar

Gulsah Dagdeviren(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ETLİK ZÜBEYDE HANIM KADIN HASTALIKLARI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0003-3426-033X
Elif Ergün(T.C. SAĞLIK BAKANLIĞI ANKARA İL SAĞLIK MÜDÜRLÜĞÜ ANKARA EĞİTİM VE ARAŞTIRMA HASTANESİ)0000-0002-5600-3599
Ayşe Keleş(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ETLİK ZÜBEYDE HANIM KADIN HASTALIKLARI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-0570-9014
Ozge Yucel Celik(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ETLİK ZÜBEYDE HANIM KADIN HASTALIKLARI SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0002-7746-1943
Aykan Yücel(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0000-0002-5888-692X
Dilek Sahin(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ)0000-0001-8567-9048
Pages
1109–1116
Publication Date
2022-03-25
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Hence we recommend using ultrasonography and magnetic resonance imaging together in its diagnosis.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: To investigate imaging findings and postnatal clinical features of fetal intracranial hemorrhage.
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Key Findings & Data:Materials and Method: Fetal intracranial hemorrhage cases detected in our institution between 2018 and 2020 by ultrasonography and magnetic resonance imaging were included.
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Conclusion & Impact:Hence we recommend using ultrasonography and magnetic resonance imaging together in its diagnosis.
🔬Design:Araştırma Makalesi
📍Scope:2018 Verileri
⚙️Variables:Fetal intrakraniyal kanama · fetal manyetik rezonans görüntüleme · intraventriküler kanama

Abstract

Aim: To investigate imaging findings and postnatal clinical features of fetal intracranial hemorrhage. Materials and Method: Fetal intracranial hemorrhage cases detected in our institution between 2018 and 2020 by ultrasonography and magnetic resonance imaging were included. Maternal characteristics, ultrasonography and magnetic resonance imaging findings, and postnatal outcomes were noted. Results: A total of 10 cases with a gestational age of 21-35 weeks at the time of diagnosis were detected. Eight cases had an intraventricular hemorrhage, one case had a cerebellar hemorrhage, and one case had both intraventricular and subdural hemorrhage. An identifiable risk factor was detected in 60% of the cases. While intracranial hemorrhage was diagnosed by ultrasonography in seven cases, in 3 cases it was detected by magnetic resonance imaging that was performed for indications other than intracranial hemorrhage. In two cases pregnancy was terminated, one intrauterine fetal death occurred and seven cases born alive were followed up for at least six months in the postnatal period. Among these, the neurological disorder was observed in 66.6%. Conclusion: Fetal magnetic resonance imaging plays an important role in the diagnosis and characterization of intracranial hemorrhage and is complementary to ultrasonography. Hence we recommend using ultrasonography and magnetic resonance imaging together in its diagnosis.

Özet

Amaç: Fetal intrakraniyal kanamanın görüntüleme bulgularını ve postnatal klinik özelliklerini araştırmak. Gereçler ve Yöntem: Çalışmaya kurumumuzda 2018-2020 yılları arasında ultrasonografi ve manyetik rezonans görüntüleme ile tanı konulan fetal intrakranial kanama olguları dahil edildi. Maternal özellikler, ultrason ve manyetik rezonans görüntüleme bulguları ile postnatal sonuçlar hasta kayıtlarından elde edildi. Bulgular: Tanı anında gestasyonel yaşı 21-35 hafta olan toplam 10 olgu tespit edildi. Sekiz fetusta intraventriküler kanama, bir fetusta serebellar kanama ve birinde hem intraventriküler hem de subdural kanama vardı. Olguların %60'ında tanımlanabilir bir risk faktörü saptandı. Ultrasonografi ile yedi fetusta intrakranial kanama tanısı konurken, üç fetusta diğer endikasyonlar için yapılan manyetik rezonans görüntüleme ile fetal intrakranial kanama saptandı. İki olguda gebelik sonlandırıldı, bir adet intrauterin fetal ölüm meydana geldi ve canlı doğan yedi olgu postnatal dönemde en az altı ay süreyle izlendi. Bunların %66,6'sında nörolojik bozukluk görüldü. Sonuç: Manyetik rezonans görüntüleme fetal intrakranial kanamanın tanı ve karakterizasyonunda önemli bir rol oynar ve ultrasonografiyi tamamlayıcıdır. Bu nedenle prenatal tanıda ultrason ve manyetik rezonans görüntüleme birlikte kullanılmalıdır.

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Cite This Article

Dagdeviren, G., Ergün, E., Keleş, A., Celik, O. Y., Yücel, A., Sahin, D. (2022). Fetal intracranial hemorrhage: prenatal imaging findings and postnatal clinical outcome. Jinekoloji-Obstetrik ve Neonatoloji Tıp Dergisi, Cilt: 19 Sayı: 1, 1109–1116. https://doi.org/10.38136/jgon.997207

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