[Epidural haematoma in a newborn].
Birth injuries occur occasionally but, in contrast, perinatally acquired epidural and intracerebral hematomas as well as neonatal skull fractures are extremely rare. The appropriate diagnostic and therapeutic modalities depend on the size and site of the injury as well as any accompanying diseases. We report the case of a neonatal epidural and intracerebral haematoma with skull fracture following secondary caesarean section. There was no evidence for trauma during pregnancy, birth injury or other possible causes of bleeding. The haematoma was decompressed surgically. One year after surgery the boy suffers from moderate neurological compromise and focal seizures.
Haase
R
R
Neonatologie und Kinderintensivmedizin, Universitätsklinik und Poliklinik für Kinder- und Jugendmedizin, Martin-Luther-Universität Halle-Wittenberg, Halle/Saale. roland.haase@medizin.uni-halle.de
Sauer
H
H
Brucke
M
M
Lieser
U
U
Horneff
G
G
D001034:Apgar Score; D001720:Birth Injuries / Q000175:diagnosis* / Q000601:surgery; D015148:Cardiotocography; D002543:Cerebral Hemorrhage / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D002585:Cesarean Section; D003560:Cysts / Q000175:diagnosis; D004453:Echoencephalography; D004824:Epidural Space; D004828:Epilepsies, Partial / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D005790:General Adaptation Syndrome / Q000175:diagnosis; D005911:Gliosis / Q000175:diagnosis; D006407:Hematoma, Epidural, Cranial / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010294:Parietal Bone / Q000293:injuries* / Q000601:surgery; D011247:Pregnancy; D012887:Skull Fractures / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed