BACKGROUND:

Prenatal intracranial hemorrhage is rarely detected. The location, size, characteristics, and cause of the bleeding play a decisive role in the pre- and postnatal outcome ranging from normal neurological development to mild cases with spontaneous relief and severe cases with cerebral palsy or intrauterine death. Prenatal counseling, after this diagnosis, should be based on an exhaustive study by a multidisciplinary team.

CLINICAL CASE:

33-week gestation fetus with subdural hemorrhage. The study was completed with magnetic resonance imaging and the search for the cause of the bleeding was undertaken. In view of the progress of the lesion, it was decided, in agreement with the parents, to terminate the pregnancy by cesarean section and surgical intervention at birth. The postoperative course was uneventful and the clinical evolution of the newborn up to 15 months of life was normal.

CONCLUSIONS:

After detection of intracranial hemorrhage, a thorough imaging study should be performed, with evaluation by a multidisciplinary team and a detailed anamnesis to provide correct prenatal advice.