Prenatálně diagnostikované nitrolební krvácení u plodu je spojeno s širokým spektrem postižení novorozence, od zcela nekomplikovaného fyziologického vývoje až po závažnou tíži neurologického postižení či úmrtí. Incidence čítá 0,6–1/1 000 porodů. Nitrolební krvácení je v závislosti na anatomické lokalizaci klasifikováno na intraventrikulární, intracerebrální, cerebrální, subarachnoidální, subdurální. V kazuistice popisujeme raritní případ spontánního nitrolebního krvácení u plodu sledovaného pro hydrops, těhotenství komplikované pro polyhydramnion. Byla provedena rešerše literatury. V diskuzi prezentujeme diagnostický algoritmus a výsledky provedených vyšetření. Pro ucelení kazuistiky doplňujeme informaci o vedení porodu a časném úmrtí novorozence.
Prenatally diagnosed intracranial hemorrhage in the fetus is associated with a wide range of neonatal disorders, from completely uncomplicated physiological development to severe neurological impairment or death. The incidence is 0.6–1/1,000 births. Intracranial hemorrhage, depending on the anatomical location, is classified as intraventricular, intracerebral, cerebral, subarachnoid, and subdural. In this case report, we describe a rare case of spontaneous intracranial hemorrhage in a fetus monitored for hydrops and pregnancy complicated by polyhydramnios. A literature research was carried out. In the discussion, we present the diagnostic algorithm and the results of the examinations performed. To complete the case report, we add information about the management of childbirth and early death of the newborn.
- MeSH
- Adult MeSH
- Hydrops Fetalis * etiology MeSH
- Intracranial Hemorrhages * etiology mortality MeSH
- Infant Mortality MeSH
- Humans MeSH
- Palliative Care methods MeSH
- Polyhydramnios etiology MeSH
- Prenatal Diagnosis methods MeSH
- Hematoma, Subdural etiology mortality MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Diagnostic Imaging MeSH
- Diagnosis, Differential * MeSH
- Neoplasms, Germ Cell and Embryonal classification MeSH
- Hemangioma * diagnostic imaging diagnosis classification physiopathology MeSH
- Humans MeSH
- Placenta pathology MeSH
- Pregnant People MeSH
- Pregnancy Outcome MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Review MeSH
- Keywords
- Foleyův katétr,
- MeSH
- Alprostadil analogs & derivatives therapeutic use MeSH
- Data Analysis MeSH
- Dinoprostone analogs & derivatives therapeutic use MeSH
- Adult MeSH
- Labor, Induced * methods instrumentation MeSH
- Catheters classification MeSH
- Humans MeSH
- Parturition drug effects MeSH
- Prostaglandins administration & dosage pharmacology classification therapeutic use MeSH
- Pregnant People MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Randomized Controlled Trial MeSH
