Germinal Matrix Hemorrhage

Question 1

Grade I

Answer 1

Subependymal GMH
Typically at caudothalamic groove

No/minimal intraventricular extension

Question 2

Grade II

Answer 2

GMH + intraventricular hemorrhage
(Filling < 50% of ventricular area)

No/ minimal ventricular eagle

Question 3

Grade III

Answer 3

GMH + intraventricular hemorrhage

Near complete filling [50%] and distension of ventricle

Question 4

Grade IV

Answer 4

Periventricular parenchymal infarction

Secondary to haemorrhagic ventricular distension, venous ischemia, and haemorrhaging venous infarct

Unlike grade I to III, not true GMH