Neonatal Cranial Ultrasound (Part II) Classification of intracranial Haemorhage and Leukomalacia

1. Neonatal Cranial Ultrasound(Part II)Classification of intracranial Haemorhage and Leukomalacia By: Dr. Nour-Eldin Mohammed Reference: Gerda van Wezel-Meijler

2. Classification of Peri- and Intraventricular Haemorrhage

3. Classification of Peri- and Intraventricular Haemorrhage Adapted from Volpe (1989): • Grade 1: germinal matrix haemorrhage with no or minimal IVH (<10% of ventricular area on parasagittal view) • Grade 2: IVH (10–50% of the ventricular area on parasagittal view without Hydrocephalus) • Grade 3: IVH (>50% of the ventricular area on parasagittal view with Hydrocephalus).

4. Grade I: bilateral germinal matrix haemorrhage

5. Grade II

6. Grade III:

8. Classification of periventricularechogenicity(Leukomalacia)

9. According to van Wezel et al. and adapted according to Sie et al. (1998,2000): • Grade 0: normal echogenicity of the periventricular white matter (the echogenicity of the periventricular white matter being less than that of the choroid plexus) • Grade 1: moderately increased echogenicity of the periventricular white matter, the affected region (or smaller areas within the affected region) being almost as bright or as bright as the choroid plexus) • Grade 2: seriously increased echogenicity, the affected region (or smaller areas within the affected region) being obviously brighter than the choroid plexus

10. Grade 0:

11. Grade 1:

12. Grade 2:

13. Thank You