Grade IV IVH — RACP Paediatrics MCQ

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HardNeonatologyGrade IV IVHRACP Paediatrics

A preterm infant at 26 weeks develops a grade IV intraventricular haemorrhage. What does grade IV specifically describe?

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Correct answer: D — Periventricular haemorrhagic infarction (parenchymal involvement)

Grade IV IVH (Papile classification) is more accurately termed periventricular haemorrhagic infarction (PVHI). It represents venous infarction of the periventricular white matter due to obstruction of the terminal vein by the IVH, not extension of blood into the parenchyma. It carries the worst neurodevelopmental prognosis.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: IVH