Vacuum extraction delivery complicated with acute subdural hematoma and cerebral infarction: report of one case.
We present a term, 2950 gm female neonate who was delivered by vacuum extraction and subsequently developed convulsions 23 hours after birth. Acute subduralhematoma was rapidly diagnosed by computed tomographic brain scan and successfully removed. The patient had a smooth postoperative recovery but cerebral infarction was found during follow up imaging studies. Magnetic resonance angiography revealed poor visualization of bilateral posterior cerebral arteries. After a follow-up period of 4 months, the infant had normal neurological development except for mild microcephalus. We report the occurrence of cerebral infarction in an infant following evacuation of a subdural hematoma. Onset of the late complication suggests the importance of serial neuroradiological and clinical evaluations.
Liu
H Y
HY
Department of Pediatrics, Chang Gung Children's Hospital, Kaohsiung, Taiwan, R.O.C.
Huang
L T
LT
Lui
C C
CC
D002544:Cerebral Infarction / Q000209:etiology*; D005260:Female; D006408:Hematoma, Subdural / Q000209:etiology*; D006801:Humans; D007231:Infant, Newborn; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects*