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

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

Authors

  • Anna Brandejsova Ústav pro péči o matku a dítě, Praha
  • Hynek Heřman Ústav pro péči o matku a dítě, Praha
  • Petra Hanulikova Ústav pro péči o matku a dítě, Praha
  • Lubomir Haslik Ústav pro péči o matku a dítě, Praha
  • Alexandra Regendova Ústav pro péči o matku a dítě, Praha
  • Ladislav Krofta Ústav pro péči o matku a dítě, Praha
  • Jaroslav Feyereisel Ústav pro péči o matku a dítě, Praha

Keywords:

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

Abstract

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.

Published

2025-01-03

Issue

Section

Gynecology and Obstetrics

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