Periventricular Leukomalacia Grade IV || Ultrasound || Case 318 

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Periventricular Leukomalacia Grade IV || Ultrasound || Case 318
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Clinical Features:
1 month & 8 days old child was sent with the history of
Prolonged labour.
Perinatal asphyxia & hypoxic ischemic encephalopathy.
NICU support.
Birth weight: ~ 3 kg.
Ultrasound Features:
Areas of increased periventricular echogenicity.
Extensive cystic lesions in fronto-parieto-temporo-occipital lobes extending into the deep white matter.
Remember:
Sonographic classification of PVL adapted from de Vries et. al.
Grade 1: Increased periventricular echogenicity for ≥7 days; No cyst.
Grade 2: Increased periventricular echogenicity; Small periventricular cysts.
Grade 3: Increased periventricular echogenicity; Extensive periventricular cysts in the occipital and frontoparietal regions.
Grade 4: Increased periventricular echogenicity & extensive cystic lesions extending into the deep white matter.
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