Rapid evolution of a growing skull fracture after vacuum extraction in case of fetal hydrocephalus.
Vacuum extraction in nonprogressive labor is relatively safe. Only a few major complications have been mentioned. This article describes the rapid development of a growing skull fracture associated with a porencephalic cyst and parenchymal brain damage after a difficult vacuum extraction in a patient with congenital hydrocephalus and a thoracic meningomyelocele. The diagnostic and therapeutic management is discussed.
Hes
R
R
Department of Neurosurgery, Middelheim General Hospital, Antwerp, Belgium.
de Jong
T H
TH
Paz y Geuze
D H
DH
Avezaat
C J
CJ
D000015:Abnormalities, Multiple; D001720:Birth Injuries / Q000209:etiology* / Q000601:surgery; D001930:Brain Injuries / Q000209:etiology / Q000473:pathology / Q000601:surgery; D003560:Cysts / Q000209:etiology* / Q000601:surgery; D018450:Disease Progression; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000150:complications*; D007231:Infant, Newborn; D008297:Male; D008591:Meningomyelocele / Q000150:complications / Q000601:surgery; D007744:Obstetric Labor Complications; D010294:Parietal Bone / Q000293:injuries* / Q000601:surgery; D011247:Pregnancy; D012887:Skull Fractures / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D016135:Spinal Dysraphism / Q000150:complications; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects*