How is neonatal intraventricular hemorrhage classified

How is neonatal intraventricular hemorrhage classified? 

  • Grade I: Localized subependymal hemorrhage into the germinal matrix
  • Grade II: Subependymal hemorrhage with extension into the ventricles (less than 50% of the ventricular volume filled with blood)
  • Grade III: Subependymal hemorrhage with extension into the ventricles and acute ventricular dilatation (greater than 50% of the ventricular volume filled with blood)
  • Grade IV (now referred to as a periventricular hemorrhagic infarction ): Subependymal, intraventricular, and extension into the surrounding cerebral parenchyma
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