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Plain axial CT sections of brain showing large subdural hematoma with epicenter in right parafalcine location extending anteriorly and posteriorly along subdural spaces (A), Small component of parenchymal hemorrhage with secondary subarachnoid hemorrhage present in right high frontal lobe (B) and subdural hemorrhage in the right frontal convexity with mass effect (C).
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Subdural hematoma in supratentorial location occur due to rupture of bridging veins or by laceration of falx, the latter entity being extremely uncommon cause of hemorrhage in full term new-born neonate who has been delivered by non-instrumental vaginal delivery. Compressive effects on the fetal parietal bones by rigid maternal pelvic structures re...
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Context 1
... with mass effect. CT scan was performed for further evaluation which showed massive intracranial bleed in right parafalcine location which was extending along falx into anterior, posterior sub- dural spaces and along the tentorium. Small intraparenchymal hematoma and secondary subarachnoid hemorrhage were also seen in the right high frontal lobe (Fig. 1). Fetal and maternal blood investigations were normal and did not reveal any coa- gulation abnormality. The baby succumbed to severity of the bleed on the same ...Citations
... The proposed mechanisms for SDH in full-term newborns are venous bleedings due to a weakness of the wall of cerebral veins in neonates [49]. Reddy et al. showed that SDH in full term newborns is caused by laceration of subdural veins [50]. Duhaime et al. discuss that the main reason for SDH can be laceration of cortical veins secondary to stretching [51]. ...
In this review, we describe the phenomenon of intra-cranial hemorrhage (ICH), which occurs spontaneously within the first 2-3 days of life in full-term newborns without any clinical symptoms, but with long-term neurological outcomes in many cases. We give the estimated frequency and possible mechanisms responsible for silent ICH with main focus on the cerebral blood flow (CBF) and oxygenation measurements using noninvasive optical methods. We overview the current multi-modal technologies that are widely used in clinics and experiments for the study of ICH during the first days of life: magnetic resonance imaging, ultrasonography, cerebral oximetry based on near infrared spectroscopy, well as laser speckle imaging and diffuse correlation spectroscopy as a priority technology for experimental study of cerebral hemodynamics. We discuss the advantages and disadvantages of these methods. We identify key trends in experimental works and show areas for future research of ICH in term newborns. Future studies will help to improve our ability to optimize prognosis, diagnosis, and treatment of asymptomatic neonates with silent ICH.
Intracranial hemorrhage including subdural hematoma of infancy is common. But symptomatic subdural hematoma requiring surgical intervention is rare in newborns. We operated on 48hr old newborn who presented with vomiting, abnormal body movement, ptosis, and change in mentation for 24hrs. The patient was scanned with trans-fontanel sonography and a brain CT scan. With the diagnosis of subdural hematoma; burr hole and hematoma evacuation were done.
