P. Kirkinen et al., CEREBRAL BLOOD-FLOW CHANGES ASSOCIATED WITH FETAL INTRACRANIAL HEMORRHAGES, Acta obstetricia et gynecologica Scandinavica, 76(4), 1997, pp. 308-312
Background and material. In order to evaluate cerebral blood flow chan
ges associated with fetal intracranial hemorrhages, ultrasound and MRI
examinations were carried out in four pregnancies with this complicat
ion. Results. Increased resistance indices of the blood flow profile o
f the middle cerebral artery were detected in three of the fetuses, tw
o of them presenting retrograde diastolic flow. Flow became normalized
in one case within four weeks, changing on the contralateral side to
an increased diastolic flow pattern. Conclusion. Increased intracrania
l pressure can cause these flow changes, but cerebral blood flow autor
egulation need not be completely ruined in this complication.