Encephalomalacia as result of twin to twin transfusion

Cerebral morbidity in twin to twin transfusion (TTTS) mainly occurs following vascular disruptive lesions. Both donors and recipients are at risk of developing either ischemic or hemorrhagic lesions. Our patient was born from twin pregnancy at 32nd week of gestational age, after intrauterine fetal death of the second twin. The mother had gestational diabetes. The preterm newborn weighted 2230 grams, Apgar score was 4 at first minute and 6 at fifth minute. She was pale, hypotonic but breathe spontaneously. The blood count revealed heavy anemia but blood pressure was normal. Seizures appeared at the fourth day of…