[Cranial lesions due to forceps delivery].
Deliveries with forceps or vacuum-extraction increase the incidence of perinatal craneoencephalic lesions, for which reason cesarean sections are performed more frequently. We report 3 cases of cranial lesions due to forceps deliveries, 2 with depressed skull fractures and 1 with a depressed fracture and an associated epidural hematoma. Diagnosis is made on clinical and radiological founds with CT scan or MRI. Treatment is surgical and consists of elevation of the depressed fracture and evacuation of the hematoma. The correct use of forceps is very important to avoid this kind of lesions in the newborn, especially in cases of difficult delivery.
Villarejo
F
F
Servicios de Neurocirugía del Hospital Niño Jesús y Hospital La Paz. Madrid. España.
Belinchón
J M
JM
Carceller
F
F
Gómez-Sierra
A
A
Pascual
A
A
Cordobés
F
F
Pérez-Díaz
C
C
Rivero
B
B
D001720:Birth Injuries / Q000209:etiology*; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D009772:Obstetrical Forceps / Q000009:adverse effects*; D011247:Pregnancy; D020204:Skull Fracture, Depressed / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery