Intracranial Haemorrhage (ICH) in Term Infants

  • The incidence of traumatic intracranial haemorrhage (ICH), mainly subdural, has significantly decreased due to improved obstetric practices.
  • Routine MRI studies indicate that asymptomatic subdural and subarachnoid haemorrhages remain common findings in neonates 
  • Intraparenchymal haemorrhage, occasionally traumatic, can also be related to antenatal conditions such as alloimmune thrombocytopenia or mutations in the COL4A1 gene 
  • Spontaneous intraparenchymal haemorrhage has been documented, albeit rarely 
  • Thalamic haemorrhages often result from cerebral sinovenous thrombosis (CSVT) associated with intraventricular haemorrhage (IVH) 
  • Germinal matrix–IVH (GMH-IVH) in term infants is uncommon, typically originating from the choroid plexus 
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