Intraventricular hemorrhage possibly extending from an infratentorial subdural hematoma via a perforated suprapineal recessus in a full-term neonate

BACKGROUND: Although intraventricular hemorrhage (IVH) is very rarely reported in full-term neonates, it may occur in children with perinatal trauma, asphyxia, and coagulation disorders, and may originate in the choroid plexus and residual subependymal germinal matrix layer. CASE DESCRIPTION: We present the case of a full-term baby with IVH. She had no perinatal problems or coagulation disorders. Sagittal views of neuroimages demonstrated that the IVH possibly extended from a subdural hemorrhage (SDH) in the infratentorial area via a perforated suprapineal recessus. This was barely visible on a conventional axial view of a computed tomographic scan. CONCLUSION: When the etiopathogenesis of IVH in a full-term baby with an uncomplicated delivery cannot be clearly defined, multi-directional and multi-modal neuroimaging may be useful.