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İntrauterin Dönemde MRI ile Tespit Edilen Fetal Germinal Matrix Kanaması

Fetal Germinal Matrix Hemorrhage Diagnosed by MRI During Intrauterine Period

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of Author
Abstract (2. Language): 
Intraventricular hemorrhage (IVH) is a common complication associated with delivery in preterm neonates. Germinal matrix, subependymal layer of lateral ventricle is the most occurring site of intraventricular hemorrhage. IVH is imaged as a hyperechogenic area and ventriculomegaly on ultrasonography, but it is detected easily by fetal magnetic resonance imaging (MRI). The present case was referred to our clinic due to ventriculomegaly on ultrasonography. Germinal matrix was determined on the fetal cranium with ultrasonography and intrauterine MRI at 30th weeks of gestation. The pregnancy was terminated by cesarean section due to severe preclampsia. Fetal MRI should be performed to confirm the diagnosis on the cases with suspect ventriculomegaly.
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Abstract (Original Language): 
İntraventriküler kanama (İVK) preterm doğumun önemli komplikasyonlarından biridir. Lateral ventriküllerin subepandimal tabakasını oluşturan germinal matriks intraventriküler kanamanın en sık olarak görüldüğü alandır. İVK fetüste ultrasonografi ile ventrikülomegali ve hiperekojenik alan olarak yansırken, fetal manyetik rezonans görüntüleme (MRI) ile daha kolay saptanır. Fakat fetüste bunu gözlemlemek kolay değildir. Bizim burada sunduğumuz olgu, 30’uncu gebelik haftasında dış merkezden ventrikülomegali ön tanısıyla tarafımıza gönderildi. Kliniğimizde yaptığımız ultrasonografi ve MRI’da fetal kraniumda germinal matrix kanaması tespit edildi. Otuz ikinci gebelik haftasında annede ağır preeklampsi gelişti ve bu nedenle gebelik sezaryen ile sonlandırıldı. Şüpheli ventrikülomegalide teşhisi doğrulamada fetal MRI yapılmalıdır.
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  • 2
108-110
  • Turkish

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