Bilateral Grade III Germinal Matrix Hemorrhage 1
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This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0435-Bilateral Grade III Germinal Matrix Hemorrhage 1
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CA0435-Bilateral Grade III Germinal Matrix Hemorrhage 1
Case ReportHistory
Exam
Prior Study
Findings
Brain
The brain is immature with under-sulcation and open sylvian fissures.
There is diffuse cerebral edema with diffusely increased echogenicity of the brain parenchyma and loss of grey white matter differentiation.
CSF spaces/ventricular system
There is a germinal matrix hemorrhage.
There is an intraventricular extension with the dilatation of ventricles, consistent with a grade III hemorrhage.
There is no intra-parenchymal bleed.
There is a prominence of the extra axial fluid spaces.
There are clots in the bilateral lateral ventricles and the third ventricle.
The choroid plexus is lobulated secondary to the clot layering over the choroid plexuses.
On color Doppler examination
The Resistive index in the anterior cerebral artery is 0.81
Additional findings:
None
