Fetal intracranial hemorrhage and periventricular leukomalacia: complications of twin-twin transfusion.

We report neurologic damage in twins that was associated with twin-twin transfusion syndrome. Intracranial hemorrhage, detected prenatally, was seen in the larger twin , and periventricular leukomalacia was identified on the first day of life in the smaller twin . Recognition of fetal intracerebral hemorrhage on prenatal sonograms is uncommon; it has been reported only three times (1-3] . The particular neurologic lesions identified in each of these twins can be explained by the pathophysiology present during the fetofetal transfusion syndrome. The combination of findings in association with twin-twin transfusion has not been reported before.