Neonatal Acute Epidural Hematoma: A Case Report and Literature Review

We present a rare case of an acute epidural hematoma (EDH) in a neonate. The EDH was caused by a fall during natural vaginal delivery. The clinical findings were normal after fall and the first ultrasonographic study did not show any hematomas. A computed tomography scan on the second day after deli...

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Detalles Bibliográficos
Autores principales: Iranmehr, Arad, Rashidbeygi, Milad, Namvar, Mohammad, Khadivi, Ayda, Hoseynzadeh, Ehsan, Payinmahalli, Abolfazl
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neurotraumatology Society 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607014/
https://www.ncbi.nlm.nih.gov/pubmed/33163435
http://dx.doi.org/10.13004/kjnt.2020.16.e22
Descripción
Sumario:We present a rare case of an acute epidural hematoma (EDH) in a neonate. The EDH was caused by a fall during natural vaginal delivery. The clinical findings were normal after fall and the first ultrasonographic study did not show any hematomas. A computed tomography scan on the second day after delivery showed an EDH with 20 mm thickness extending through a skull fracture into subgaleal space. We performed a craniotomy and removed the EDH and subgaleal hematoma. After the surgery we performed follow-up twice ultrasonographic study for seeking probable hematoma recurrence. The patient was discharged after postoperative 3 days without any neurological deficits.

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