Subdural hematomas in neonates. Surgical treatment.
7 cases of acute subdural hematomas diagnosed and surgically treated during the first week of life are presented. 5 of them are alive and well at 6 and 7 months and 3, 4 and 6 years of follow-up. Free interval, raised intracranial pressure, lateralizing signs, fall of hematocrit and presence of blood in CSF were constant. Subdural puncture was negative in 6 cases, including a hemophilic patient (hemophilia B). Clinical diagnosis was ratified by means of neuroradiological procedures. The authors conclude that craniectomy is the treatment of choice and subdural tapping a useless procedure.
D001929:Brain Edema / Q000150:complications; D006408:Hematoma, Subdural / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D002836:Hemophilia B / Q000150:complications; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D012886:Skull / Q000601:surgery