Spinal cord transection, cerebral ischaemic and brain-stem injury in a baby following a Kielland's forceps rotation.
A full-term infant suffered a high cervical cord transection after a Kielland 's forceps rotation and extraction. Quadriplegia developed immediately and initial cerebral swelling was followed by atrophy with ventricular dilatation on CT examination. Death occurred at 60 days. At post-mortem complete necrosis of the cervical cord at C2-C3 with old haemorrhage in the meninges was found, with damage to the inferior corpora quadrigemina , the thalamus, striatum, cerebellar and cerebral cortex. The mechanism is discussed briefly.
D000328:Adult; D001284:Atrophy; D001720:Birth Injuries / Q000473:pathology*; D001921:Brain / Q000473:pathology; D001929:Brain Edema / Q000473:pathology; D002545:Brain Ischemia / Q000473:pathology*; D001933:Brain Stem / Q000293:injuries* / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000473:pathology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009474:Neurons / Q000648:ultrastructure; D009772:Obstetrical Forceps / Q000009:adverse effects*; D011247:Pregnancy; D013116:Spinal Cord / Q000473:pathology; D013119:Spinal Cord Injuries / Q000473:pathology*