Al-Abdi reported a score for describing the severity of intraventricular hemorrhage (IVH) in a preterm neonate. The author is from King Abdulaziz Hospital in Saudi Arabia.
Patient selection: preterm neonate
Changes Seen on Imaging Studies
Grade IVH (Papile)
no hemorrhage
0
germinal matrix hemorrhage
1
IVH without ventricular dilatation
2
IVH with ventricular dilatation
3
extension into adjacent brain parenchyma
4
Parameters:
(1) IVH grade on worse side
(2) IVH grade on the other side
(3) extensive parenchymal involvement (>= 2 brain territories) in the left hemisphere
(4) extensive parenchymal involvement (>= 2 brain territories) in the right hemisphere
(5) brain midline shift
subscore 1 =
= ((IVH grade on worse side)^2) + (IVH grade on other side)
Parameter
Finding
Points
extensive on left
no
0
yes
5
extensive on right
no
0
yes
5
midline shift
no
0
yes
5
subscore 2 =
= SUM(points for the last 3 paraemters)
total score = (subscore 1) + (subscore 2)
Interpretation:
• minimum score: 0
• maximum score: 35
• The higher the score the more severe the intraventricular hemorrhage.
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