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🧠 Case Study 184 – Neonatal Intraventricular Hemorrhage (IVH) Meet Baby J, a 28-week preemie born via emergency C-section due to maternal preeclampsia. On day 3 of life, cranial ultrasound revealed a Grade III intraventricular hemorrhage — a serious but not uncommon complication in premature infants. What is IVH? Intraventricular hemorrhage is bleeding into the brain’s ventricular system, often due to fragile blood vessels in the germinal matrix, especially in babies born before 32 weeks gestation. Grades I–IV: ➡️ Grade I–II: Mild, often resolves without long-term issues ➡️ Grade III: Ventricular enlargement due to blood accumulation ➡️ Grade IV: Bleeding into brain tissue — highest risk for neurodevelopmental impairment Why it matters: Early detection is crucial. Untreated, IVH can lead to hydrocephalus, seizures, motor deficits, or cognitive delays. Treatment: 🍼 Supportive NICU care 🧠 Monitoring head circumference & imaging 💉 Neurosurgical interventions (like shunt placement) if hydrocephalus develops Takeaway: Prematurity isn’t just about size — it’s about organ maturity, including the brain. Vigilant monitoring can make all the difference. 💙 #Neonatology #IntraventricularHemorrhage #NICUAwareness #PrematureBaby #Neurosurgery #LadySpineDoc #CaseStudy184 #NeonatalCare #PediatricNeurosurgery #SundayCaseStudy