Severe subdural hemorrhage due to minimal prenatal trauma.
The authors report a case of minimal prenatal trauma producing a large subdural hematoma in the fetus, which was diagnosed in utero by MR imaging. The occurrence of such a complication is extremely rare in the absence of significant maternal trauma. Prenatally diagnosed intracranial hemorrhages, particularly those that are subdural in origin, have a poor prognosis in most cases. After birth, brain compression required a complex neurosurgical intervention because simple hematoma evacuation was not possible. The clinical and neurological outcome at 6 months was excellent, as confirmed by the neuroimaging findings.
Piastra
Marco
M
Paediatric Intensive Care Unit, Catholic University Medical School, A.Gemelli Hospital, L.go Gemelli 8, 00168 Rome, Italy. marco_piastra@yahoo.it
Pietrini
Domenico
D
Massimi
Luca
L
Caldarelli
Massimo
M
De Luca
Daniele
D
Del Lungo
Laura Minguell
LM
De Carolis
Maria Pia
MP
Di Rocco
Concezio
C
Conti
Giorgio
G
Zecca
Enrico
E
D000007:Abdominal Injuries / Q000150:complications* / Q000503:physiopathology; D000328:Adult; D001930:Brain Injuries / Q000196:embryology* / Q000209:etiology*; D003399:Craniotomy; D005260:Female; D006408:Hematoma, Subdural / Q000175:diagnosis / Q000196:embryology* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D021621:Imaging, Three-Dimensional; D007231:Infant, Newborn; D020300:Intracranial Hemorrhages / Q000175:diagnosis / Q000196:embryology / Q000209:etiology / Q000601:surgery; D018810:Magnetic Resonance Angiography; D008279:Magnetic Resonance Imaging; D008297:Male; D009069:Movement Disorders / Q000209:etiology; D019635:Neurosurgical Procedures; D011183:Postoperative Complications; D011247:Pregnancy; D011296:Prenatal Diagnosis; D012640:Seizures / Q000209:etiology; D012720:Severity of Illness Index; D014949:Wounds, Nonpenetrating / Q000150:complications*