Intraventricular Hemorrhage (IVH) and Grading of Severity

Ultrasound

Obie Editorial Team

An intraventricular hemorrhage, or  IVH, is bleeding into the ventricles of the brain. In infants, intraventricular hemorrhages are labeled by how severe the hemorrhage is.

Grade 1 - bleeding occurs just in a small area of the ventricles.
Grade 2 - bleeding also occurs inside the ventricles.
Grade 3 - ventricles are enlarged by the blood.
Grade 4 - bleeding into the brain tissues around the ventricles.

Grades 1 and 2 are most common, occurring in about 75% of babies with IVH. Often, there are no further complications. Grades 3 and 4 are the most serious and may result in long-term brain injury to the baby. Hydrocephalus (too much cerebral spinal fluid in the brain) may develop after severe IVH.