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A 4-Day-Old Premature Infant in the Neonatal Intensive Care Unit

Question 72

Multiple Choice

A 4-day-old premature infant in the neonatal intensive care unit becomes hypotonic and less responsive.  She was delivered vaginally at 30 weeks gestation, and her birth weight was 1,200 g (2 lb 10 oz) .  Physical examination shows a lethargic infant with weak and high-pitched crying, prominent scalp veins, and tense fontanelles.  Cranial ultrasound reveals blood in the lateral ventricles.  Which of the following structures is the most likely source of the bleeding?


A) Bridging cortical veins
B) Germinal matrix
C) Meningeal arteries
D) Sagittal sinus
E) Vessels of the circle of Willis

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