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Traumatic Posterior Fossa Subdural Hematoma in a Neonate: A Case Report

  • Eom, Ki Seong (Department of Neurosurgery, Wonkwang University School of Medicine)
  • Received : 2020.03.09
  • Accepted : 2020.04.07
  • Published : 2020.12.30

Abstract

Although traumatic posterior fossa subdural hematoma (TPFSH) in neonates immediately after birth is extremely rare, it can pose a serious clinical problem in the neonatal period. Here, the author presents the case of a 3-day-old male infant who underwent emergency surgical treatment of TPFSH with a favorable outcome. Debate continues about surgical versus conservative treatment of TPFSH in neonates. The clinical symptoms, extent of hemorrhage, early diagnosis, and prompt and appropriate surgery are the most important factors in the treatment of TPFSH in neonates. Therefore, neurosurgeons should establish treatment strategies based on the newborn's clinical condition, the size and location of the TPFSH, and the potential of the hematoma to cause long-term complications.

Keywords

References

  1. Blauwblomme T, Garnett M, Vergnaud E, et al. The management of birth-related posterior fossa hematomas in neonates. Neurosurgery 2013;72:755-62. https://doi.org/10.1227/NEU.0b013e318286fc3a
  2. Hanigan WC, Morgan AM, Stahlberg LK, Hiller JL. Tentorial hemorrhage associated with vacuum extraction. Pediatrics 1990;85:534-9.
  3. Volpe JJ. Neonatal intracranial hemorrhage. Pathophysiology, neuropathology, and clinical features. Clin Perinatol 1977;4:77-102. https://doi.org/10.1016/S0095-5108(18)31223-5
  4. von Gontard A, Arnold D, Adis B. Posterior fossa hemorrhage in the newborn--diagnosis and management. Pediatr Radiol 1988;18:347-8. https://doi.org/10.1007/BF02389011
  5. Welch K, Strand R. Traumatic parturitional intracranial hemorrhage. Dev Med Child Neurol 1986;28:156-64. https://doi.org/10.1111/j.1469-8749.1986.tb03849.x
  6. Coblentz RG. Cerebellar subdural hematoma in infant 2 weeks old with secondary hydrocephalus: operation with recovery. Surgery 1940;8:771-6.
  7. Perrin RG, Rutka JT, Drake JM, et al. Management and outcomes of posterior fossa subdural hematomas in neonates. Neurosurgery 1997;40:1190-200. https://doi.org/10.1097/00006123-199706000-00016
  8. Hemsath FA. Birth injury of the occipital bone, with a report of thirty-two cases. Am J Obstet Gynecol 1934;27:194-203. https://doi.org/10.1016/s0002-9378(34)90963-7
  9. Shinnar S, Gammon K, Bergman EW Jr, Epstein M, Freeman JM. Management of hydrocephalus in infancy: use of acetazolamide and furosemide to avoid cerebrospinal fluid shunts. J Pediatr 1985;107:31-7. https://doi.org/10.1016/s0022-3476(85)80609-0
  10. Govaert P, Calliauw L, Vanhaesebrouck P, Martens F, Barrilari A. On the management of neonatal tentorial damage. Eight case reports and a review of the literature. Acta Neurochir (Wien) 1990;106:52-64. https://doi.org/10.1007/BF01809333