Epidural hematoma.
Epidural hematomas are rare birth injuries, and spontaneous presentation is exceptional. We present 2 cases of newborns with spontaneous epidural hematomas after delivery. In both cases, cerebral hemorrhage was associated with skull fracture and cephalohematoma. One newborn presented with neurologic symptoms in the form of convulsions, whereas the other was asymptomatic. Confirmation of the diagnosis was made by cranial computed tomography. Both cases were treated surgically by craniotomy. Follow-up showed normal neurologic development.
Division of Neonatology, Department of Pediatrics, Hospital Sant Pau I Santa Creu, Barcelona, Spain. alex41280@hotmail.com
Alexandra
A
Scheibl
Elisenda Moliner
EM
Calderón
Maria José García
MJ
Borau
Raúl Morales
RM
Prieto
Patricia Febles
PF
González
Gemma Ginovart
GG
Galiana
D001720:Birth Injuries / Q000175:diagnosis* / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000151:congenital* / Q000000981:diagnostic imaging / Q000209:etiology; D002585:Cesarean Section; D003399:Craniotomy; D004388:Dura Mater / Q000293:injuries*; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000151:congenital* / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D007236:Infant, Small for Gestational Age; D008297:Male; D012640:Seizures / Q000209:etiology; D012887:Skull Fractures / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography