Neonatal infratentorial subdural hematoma contributing to obstructive hydrocephalus in the setting of therapeutic cooling: A case report
| Autor: | Elizabeth A Rooks, Jonathan R. Wood, Jaren T Meldrum, Kristopher G. Hooten, Lee K Rousslang |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Neonatal subdural hematoma Obstructive hydrocephalus General Medicine medicine.disease Hypoxic Ischemic Encephalopathy nervous system diseases Surgery body regions surgical procedures operative Hematoma Case report cardiovascular system medicine Therapeutic hypothermia cardiovascular diseases business Hypoxic ischemic encephalopathy |
| Zdroj: | World Journal of Radiology |
| ISSN: | 1949-8470 |
| Popis: | BACKGROUND Symptomatic neonatal subdural hematomas usually result from head trauma incurred during vaginal delivery, most commonly during instrument assistance. Symptomatic subdural hematomas are rare in C-section deliveries that were not preceded by assisted delivery techniques. Although the literature is inconclusive, another possible cause of subdural hematomas is therapeutic hypothermia. CASE SUMMARY We present a case of a term neonate who underwent therapeutic whole-body cooling for hypoxic ischemic encephalopathy following an emergent C-section delivery for prolonged decelerations. Head ultrasound on day of life 3 demonstrated a rounded mass in the posterior fossa. A follow-up brain magnetic resonance imaging confirmed hypoxic ischemic encephalopathy and clarified the subdural hematomas in the posterior fossa causing mass effect and obstructive hydrocephalus. CONCLUSION The aim of this report is to highlight the rarity and importance of mass-like subdural hematomas causing obstructive hydrocephalus, particularly in the setting of hypoxic ischemic encephalopathy and therapeutic whole-body cooling. |
| Databáze: | OpenAIRE |
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