ABSTRACT
Epidural hematomas are rare birth injuries, and spontaneous presentation is exceptional. We present 2 cases of newborns with spontaneous epidural hematomas after delivery. In both cases, cerebral hemorrhage was associated with skull fracture and cephalohematoma. One newborn presented with neurologic symptoms in the form of convulsions, whereas the other was asymptomatic. Confirmation of the diagnosis was made by cranial computed tomography. Both cases were treated surgically by craniotomy. Follow-up showed normal neurologic development.
Subject(s)
Birth Injuries/diagnosis , Cerebral Hemorrhage/congenital , Dura Mater/injuries , Hematoma, Epidural, Cranial/congenital , Skull Fractures/etiology , Birth Injuries/surgery , Cerebral Hemorrhage/diagnostic imaging , Cerebral Hemorrhage/etiology , Cesarean Section , Craniotomy , Female , Hematoma, Epidural, Cranial/diagnostic imaging , Hematoma, Epidural, Cranial/etiology , Hematoma, Epidural, Cranial/surgery , Humans , Infant, Newborn , Infant, Small for Gestational Age , Male , Seizures/etiology , Skull Fractures/diagnostic imaging , Tomography, X-Ray Computed , UltrasonographyABSTRACT
Birth injuries occur occasionally but, in contrast, perinatally acquired epidural and intracerebral hematomas as well as neonatal skull fractures are extremely rare. The appropriate diagnostic and therapeutic modalities depend on the size and site of the injury as well as any accompanying diseases. We report the case of a neonatal epidural and intracerebral haematoma with skull fracture following secondary caesarean section. There was no evidence for trauma during pregnancy, birth injury or other possible causes of bleeding. The haematoma was decompressed surgically. One year after surgery the boy suffers from moderate neurological compromise and focal seizures.
Subject(s)
Birth Injuries/diagnosis , Cerebral Hemorrhage/congenital , Cesarean Section , Hematoma, Epidural, Cranial/congenital , Parietal Bone/injuries , Skull Fractures/congenital , Apgar Score , Birth Injuries/surgery , Cardiotocography , Cerebral Hemorrhage/diagnosis , Cerebral Hemorrhage/surgery , Cysts/diagnosis , Echoencephalography , Epidural Space , Epilepsies, Partial/etiology , Female , Follow-Up Studies , General Adaptation Syndrome/diagnosis , Gliosis/diagnosis , Hematoma, Epidural, Cranial/diagnosis , Hematoma, Epidural, Cranial/surgery , Humans , Infant , Infant, Newborn , Parietal Bone/surgery , Pregnancy , Skull Fractures/diagnosis , Skull Fractures/surgery , Tomography, X-Ray ComputedSubject(s)
Hematoma, Epidural, Cranial/etiology , Hematoma, Subdural/etiology , Prader-Willi Syndrome/complications , Abnormalities, Multiple/etiology , Blotting, Southern , Brain/pathology , Breech Presentation , Female , Hematoma, Epidural, Cranial/congenital , Hematoma, Epidural, Cranial/pathology , Hematoma, Subdural/congenital , Hematoma, Subdural/pathology , Humans , Infant, Newborn , Male , Prader-Willi Syndrome/diagnosis , Pregnancy , Risk FactorsABSTRACT
Penetrating head trauma in children causes uncommon and potentially life-threatening injuries. We report on a case of penetrating cranial stab wound to the right parietal region of the head to a 29-week fetus. The child was delivered by emergency Caesarian section. Neurosurgical intervention after birth was necessary. The injury caused a posthaemorrhagic hydrocephalus. Real-time ultrasound examination visualises the brain damage and the development of a hydrocephalus e vacuo.
