Papille classification

The Burstein, Papille et. al classification of germinal matrix haemorrhage was based on cranial ultrasound findings in neonates.

The classification has 4 grades.

Grade I haemorrhage within the germinal matrix which is usually at the caudothalamic groove  
Grade II Extension of the haemorrhage into the ventricle; ventricle is normal size;  the haemorrhage fills <50% of the ventricular volume (on coronal ultrasound image of the brain)  
Grade III Haemorrhage into enlarged ventricles  
Grade IV Similar to grade III but with intraparenchymal bleed as well  
Last updated byGanealingam Narenthiran on May 7, 2022

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.