Staging
Papile classification
A grading of intraventricular hemorrhage in preterm infants into four stages by how far the bleeding extends on cranial ultrasound.
Also called: Papile, Papile grading
Stages
- I
Germinal matrix hemorrhage
Blood confined to the germinal matrix, also called subependymal hemorrhage, without blood entering the ventricle.
- II
Intraventricular blood without ventricular enlargement
Blood within the ventricle but no enlargement of the ventricle.
- III
Intraventricular blood with ventricular enlargement
Blood within the ventricle together with enlargement of the ventricle.
- IV
Periventricular hemorrhagic infarction
Bleeding into the periventricular white matter beside the ventricle, historically called grade IV.
Judged onExtent of hemorrhage on cranial ultrasound