title: Contralateral cerebral infarction following vacuum extraction.
abstract: Cerebral infarction is a rare complication following a vacuum-assisted delivery occurring on the side of the vacuum application and often accompanied by a cephalhematoma. We report a case of cerebral infarction that was contralateral to the side of the vacuum application in a term baby. The baby presented with seizures in the immediate neonatal period. There was no fracture of the skull to account for a contusion injury. We discuss the mechanisms of intracranial vascular injuries during the process of natural and assisted birth.
authors.affiliation: Division of Neonatology, Department of Pediatrics, McMaster Children's Hospital, 1200 Main Street West, Hamilton, Ontario, Canada L8S 4J9.
authors.forename: Manoj
authors.initials: M
authors.lastname: Kumar
authors.forename: Sanja
authors.initials: S
authors.lastname: Avdic
authors.forename: Bosco
authors.initials: B
authors.lastname: Paes
mesh_terms: D000328:Adult; D002544:Cerebral Infarction / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008297:Male; D007744:Obstetric Labor Complications; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D012640:Seizures / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects*