Serdar ALAN, Mustafa KONAKÇI, Mikail İNAL, Didem ALİEFENDİOĞLU

A newborn case of split choroid plexus supposed to have intraventricular hemorrhage by bedside cranial ultrasound

Cranial ultrasound is a valuable bedside technique and procedure of choice to image the intraventricular hemorrhage (IVH). Moreover, anatomical variants of the neonatal brain should be known to avoid of misinterpretation. The term of split choroid plexus was described as a cleft in the choroid plexus, which could be partial or complete in the anterior portion, giving a lobular appearance. We presented the case of split choroid plexus in a late premature infant and we aimed draw attention to the fact that it can be confused with IVH.

Keywords:

Intraventricular hemorrhage, prematurity, split choroid plexus, cranial ultrasound,

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Wu YW, Hamrick SE, Miller SP, et al. Intraventricular hemorrhage in term neonates caused by sinovenous thrombosis. Ann Neurol 2003; 54: 123–26.
Enriquez G, Flavia C, Lucaya J, et al. Potential pitfalls in cranial sonography. Pediatr Radiol 2003; 33: 110–7.
Correa F, Enriquez G, Rossello J, et al. Posterior fontanelle sonography: an acoustic window into the neonatal brain. AJNR Am J Neuroradiol 2004; 25: 1274–82.
Lowe LH, Bailey Z. State-of-the-Art Cranial Sonography: Part 2, Pitfallsand Variants AJR 2011; 196: 1034–40.
Di Salvo DN. A New View of the Neonatal Brain: Clinical Utility of Supplemental Neurologic US Imaging Windows. RadioGraphics 2001; 21: 943–55.
Allan WC, Volpe JJ. Periventricular–intraventricular hemorrhage. Pediatrics. 1989; 84: 913-5.
Papile LA, Burstein J, Burstein R, et al. Incidence and evolution of subependymal and intraventricular hemorrhage: a study of infants with birth weights less than 1,500 gm. J. Pediatr 1978; 92: 529–34.
Mccrea, HJ, Ment LR. The Diagnosis, management, and postnatal prevention of intraventricular hemorrhage in the preterm neonate. Clin. Perinatol 2008; 35: 777–92.
Gupta P, Sodhi KS, Saxena AK, et al. Neonatal cranial sonography: A concise review for clinicians. J Pediatr Neurosci 2016; 11: 7-13.
Leijser LM, de Vries LS, Cowan FM. Using cerebral ultrasound effectively in the newborn infant, Early Hum Dev 2006; 82: 827-35.
Steggerda SJ, Leijser LM, Walther FJ et al. Neonatal cranial ultrasonography: how to optimize its performance, Early Hum Dev 2009; 85: 93-9.
Fiske CE, Filly RA, Callen PW. The normal choroid plexus: ultrasonographic appearance of the neonatal head. Radiology 1981; 141: 467–71.