Neonatal Intracranial Hemorrhage

Grade-I Hemorrhage: 

• One or more hyperechogenic areas just below the lateral ventricle, Best seen in a transverse plane adjacent to the frontal horn.
• Confirm by doing a sagittal scan.
• May be unilateral or bilateral.

Grade-II Hemorrhage:

• Intraventricular bleeding (Additional echoes from the ventricles indicating thrombus or clot)
• No ventricular dilatations.

Grade-III Hemorrhage:

• Intraventricular Bleeding.
• Dilated ventricles

Grade-IV Hemorrhage:

• Intraventricular bleeding.
• Bleeding into brain substance (increased echogenicity within the brain).