Periventricular Leukomalacia Grade IV || Ultrasound || Case 318

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Periventricular Leukomalacia Grade IV || Ultrasound || Case 318
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Clinical Features:
1 month & 8 days old child was sent with the history of
- Prolonged labour.
- Perinatal asphyxia & hypoxic ischemic encephalopathy.
- NICU support.
- Birth weight: ~ 3 kg.
Ultrasound Features:
- Areas of increased periventricular echogenicity.
- Extensive cystic lesions in fronto-parieto-temporo-occipital lobes extending into the deep white matter.
Remember:
Sonographic classification of PVL adapted from de Vries et. al.
Grade 1: Increased periventricular echogenicity for ≥7 days; No cyst.
Grade 2: Increased periventricular echogenicity; Small periventricular cysts.
Grade 3: Increased periventricular echogenicity; Extensive periventricular cysts in the occipital and frontoparietal regions.
Grade 4: Increased periventricular echogenicity & extensive cystic lesions extending into the deep white matter.
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[@mdraza7638]

❤❤❤

[@rahaafzaly4149]

Very nice

[@user-re7gg6hi3n]

Head CT scan should be recommended

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