Do vacuum-assisted deliveries cause intracranial vessel injuries?
Vacuum-assisted deliveries are fairly commonly used in obstetrical practice. Most newborns who have a vacuum-assisted delivery undergo extracranial birth traumas that have no residual consequences. Vacuum-assisted deliveries that complicate intracranial vascular infarction are rarely reported. We present 2 cases of intracranial vessel infarction after vacuum-assisted deliveries. One newborn, with scalp erosion, showed an unusual left middle cerebral artery infarct, and the other, with a severe subgaleal hematoma, had a venous thrombosis. Before the diagnosis, made using brain ultrasonography, neither had specific observable neurological symptoms. In conclusion, vacuum-assisted deliveries should be given special attention, especially when they are combined with a severe extracranial birth trauma.
Ng
Yan-Yan
YY
Department of Pediatrics, Chung Shan Medical University Hospital, Chung Shan Medical University, Taichung 402,, Taiwan.
Su
Pen-Hua
PH
Chen
Jia-Yuh
JY
Lee
Inn-Chi
IC
D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D001929:Brain Edema / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D020520:Brain Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D004453:Echoencephalography; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D020244:Infarction, Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed; D014620:Vacuum Extraction, Obstetrical / Q000009:adverse effects*; D020246:Venous Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology