Table 1

Parenchymal temporal lobe haemorrhage associated with germinal matrix haemorrhage

Case No Gestational age Clinical details Side IVH grade Outcome
Probable venous infarction within the area drained by the inferior ventricular vein
127PROM, vaginal breech delivery, hypothermia, hypotension, grade 4 IRDSRight4Early neonatal death (arrest of intensive care)
226Third of quintuplet, vaginal breech delivery, grade 4 IRDS with pulmonary emphysema, pneumothorax and chronic lung diseaseRight2Late neonatal death
332Grade 3 IRDSLeft2Normal motor development at 7 months, MDI 105
428Second twin, emergency caesarean, grade 4 IRDS, pulmonary hypertension, pulmonary emphysema, bilateral pneumothorax, open ductus arteriosus (surgically clipped), chronic lung diseaseRight2Delayed milestones, mild cognitive dysfunction, no cerebral palsy at 42 months
527Grade 3 IRDS, transient posthaemorrhagic ventriculomegaly, urethral valves with urosepsisLeft2Transient lower limb hypertonia and mild cognitive delay at 18 months (MDI 84)
640Maternal diabetes insipidus, seizures on day 2, right subacute temporal cerebral and left cerebellar bleeding, no respiratory distressRight2Hypotonia and mild cognitive delay at 34 months (MDI 88, Reynell language test at 5th centile)
728PROM, early onset GBS septicaemia with hypotension, metabolic acidosis, neutropenia; no IRDS, open ductus arteriosus Right2Normal at 4 months
Probable venous infarction within the area drained by the lateral atrial vein
834Enterococcal pneumonia (vertical transmission), pneumothorax, pulmonary hypertension, chronic lung diseaseRight2Mild left hemiparesis at 28 months, MDI 110
934Acceptor in a fetofetal transfusion, severe non-immune hydrops, persistent hypoglycaemia, posthaemorrhagic hydrocephalusLeft2Severe visual dysfunction, normal cognitive dysfunction, poorly defined psychiatric disorder, first epileptic insult at 8 years of age
1031Pre-eclampsia, intrauterine growth retardation, fetal distress 3 days before caesarean section, no respiratory distress, lesion seen at 1 h of ageRight2No follow up yet