Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Ultrasound-guided Needle Aspiration of Cranial Epidural Hematoma in a Neonate

  • Lee, Dong-Hoon (Departments of Neurosurgery, School of Medicine, Pusan National University) ;
  • Lee, Sang-Weon (Departments of Neurosurgery, School of Medicine, Pusan National University) ;
  • Lee, Tae-Hong (Departments of Radiology, School of Medicine, Pusan National University) ;
  • Ban, Ji-Eun (Departments of Pediatrics, School of Medicine, Pusan National University)
  • Published : 2006.01.30
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Abstract

We report a unique case of a neonate with an epidural hematoma induced by vacuum extraction. The epidural hematoma, communicating with a cephalhematoma through a linear skull fracture, disappeared after ultrasound-guided needle aspiration. The patient quickly recovered and one month later computed tomography revealed a complete resolution of the epidural hematoma.

Keywords

References

  1. Aoki N : Epidural hematoma communicating with cephalhematoma in a neonate. Neurosurgery 13 : 55-57, 1983 https://doi.org/10.1227/00006123-198307000-00011
  2. Bowman R, Tomita T : Birth head trauma in Winn HR(ed) : Youmans Neurological Surgery, ed 5. Philadelphia : Saunders, 2003, Vol 3, pp3481-3487
  3. Faix RG, Donn SM : Immediate management of the traumatized infant. Clini Perinatol 10 : 487-505, 1983 https://doi.org/10.1016/S0095-5108(18)30981-3
  4. Gama CH, Fenichei GM : Epidural hematoma of the newborn due to birth trauma. Pediatr Neurol 1 : 52-53, 1985 https://doi.org/10.1016/0887-8994(85)90010-4
  5. Macdonald RL, Hoffman HJ, Kestle JR, Rutka JT, Weinstein G : Needle aspiration of acute subdural hematoma in infancy. Pediatr Neurosurg 20 : 73-76, 1994 https://doi.org/10.1159/000120768
  6. Merry GS, Stuat G : Extradural hematoma in the neonates. J Neurosurg 51 : 713-714, 1979 https://doi.org/10.3171/jns.1979.51.5.0713
  7. Negishi H, Lee Y, Itoh K, Suzuki J, Nishino M, Takada S, et al : Nonsurgical management of epidural hematoma in neonates. Pediatr Neurol 5 : 253-256, 1989 https://doi.org/10.1016/0887-8994(89)90086-6
  8. Pang D, Horton JA, Herron JM, Wilberger JE, Vries JK : Nonsurgical management of extradural hematomas in children. J Neurosurg 59 : 958-971, 1983 https://doi.org/10.3171/jns.1983.59.6.0958
  9. Plauche WC : Fetal cranial injuries related to delivery with the Malmstrom vacuum extractor. Obstet Gynecol 53 : 750-757, 1979
  10. Steinbok P, Haw CS, Cochrane DD, Kestle JR : Acute subdural hematoma associated with cerebral infarction in full term neonate. Pediatr Neurosurg 23 : 206-215, 1995 https://doi.org/10.1159/000120960
  11. Takagi T, Nagai R, Wakabayashi S, Mizawa I, Hayashi K : Extradural hemorrhage in the newborn as a result of birth trauma. Childs Brain 4 : 306-318, 1978
  12. Teng FY, Sayre JW : Vacuum extraction : does duration predict scalp injury? Obstet Gynecol 89 : 281-285, 1997 https://doi.org/10.1016/S0029-7844(96)00495-4
  13. Vachharajani A, Mathur A : Ultrasound-guided needle aspiration of cranial epidural hematoma in a neonate : treating a rare complication of vacuum extraction. Am J Perinatol 19 : 401-404, 2002 https://doi.org/10.1055/s-2002-36837