| Autor: |
Curado, Joana Pascoal, Gomes, Inês, Antunes, Isabel Lobo, Canelas, Luís, Pereira, Alcides |
| Předmět: |
|
| Zdroj: |
Journal of Perinatal Medicine; 2017 Supplement, Vol. 45, p326-326, 1p |
| Abstrakt: |
Ping pong fractures are depressions that can occur in neonatal skull, diagnosed usually following birth. They occur in 3.7/100.000 births and rarely cause neurologic lesion. Although they can occur spontaneously during pregnancy, instrument deliveries constitute a major risk factor. Spontaneous elevation of this fractures has been described, however a surgical reduction may be performed. We present the case of a nullipara, 39 weeks pregnant, who was admitted in our labour department in active phase of labour. The labour progressed uneventfully. In second stage a dystocia was diagnosed, the presentations was right occiput posterior. We decided to use a Kielland forceps for rotation, and a Simpson forceps for delivery. A shoulder dystocia was rapidly solved with the delivery of the posterior arm first. The newborn weighed 3710 g and had an Apgar score of 7/10 in the 1st and 5th minutes. Following birth, temporo-parietal right depression was observed. The transfontanelar ultrasound showed no abnormalities. A surgical reduction was performed during the first day of life. The baby is now 6 months old, with normal neurological development. Ping pong fractures may occur spontaneously, but most cases are associated with instrument deliveries. Although neurological disabilities are rare, they are more common following instrument deliveries. All in all, the prognosis is good and the recovery is excellent. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
