Germinal matrix cells (Germinal matrix hemorrhage)
The germinal matrix is the site of proliferating neuronal and glial precursors in the developing brain, which is located above the caudate nucleus, in the floor of the lateral ventricle, and caudothalamic groove. The germinal matrix cells can be seen in the CSF of neonates or premature infants. They morphologically mimic blasts or small blue cell tumor.
The germinal matrix contains a rich network of fragile thin-walled blood vessels. Hence the microcirculation in this particular area is extremely sensitive to hypoxia and changes in perfusion pressure. Germinal matrix hemorrhage is a bleeding into the subependymal germinal matrix with or without subsequent rupture into thelateral ventricle. It is most frequent before 35 weeks gestation and is typically seen in very low birth-weight (<1500g) premature infants,because they lack the ability for auto regulation of cerebral blood flow. Consequently increased arterial blood pressure in these blood vessels leads to rupture and hemorrhage into germinal matrix.
Four grades are distinguished (by imaging or histology):
grade I - hemorrhage is confined to the germinal matrix; grade II - intraventricular hemorrhage without ventricular dilatation; grade III - intraventricular hemorrhage with ventricular dilatation; grade IV - intraventricular rupture and hemorrhage into the surrounding white matter
This may lead to various neurological sequelae including presentation with cerebral palsy, mental retardation and seizures. Antenatal corticosteroids have a role in reducing incidence of germinal matrix hemorrhage in premature infants
(wikipedia)
The germinal matrix is the site of proliferating neuronal and glial precursors in the developing brain, which is located above the caudate nucleus, in the floor of the lateral ventricle, and caudothalamic groove. The germinal matrix cells can be seen in the CSF of neonates or premature infants. They morphologically mimic blasts or small blue cell tumor.
The germinal matrix contains a rich network of fragile thin-walled blood vessels. Hence the microcirculation in this particular area is extremely sensitive to hypoxia and changes in perfusion pressure. Germinal matrix hemorrhage is a bleeding into the subependymal germinal matrix with or without subsequent rupture into thelateral ventricle. It is most frequent before 35 weeks gestation and is typically seen in very low birth-weight (<1500g) premature infants,because they lack the ability for auto regulation of cerebral blood flow. Consequently increased arterial blood pressure in these blood vessels leads to rupture and hemorrhage into germinal matrix.
Four grades are distinguished (by imaging or histology):
grade I - hemorrhage is confined to the germinal matrix; grade II - intraventricular hemorrhage without ventricular dilatation; grade III - intraventricular hemorrhage with ventricular dilatation; grade IV - intraventricular rupture and hemorrhage into the surrounding white matter
This may lead to various neurological sequelae including presentation with cerebral palsy, mental retardation and seizures. Antenatal corticosteroids have a role in reducing incidence of germinal matrix hemorrhage in premature infants
(wikipedia)