Journal of Korean Neurosurgical Society

  • 제44권2호
  • /
  • Pages.98-100
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  • 2008
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지

Rapidly Calcified Epidural Hematoma in a Neonate

  • Yu, Dong-Kun (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Heo, Dong-Hwa (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Cho, Sung-Min (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Cho, Yong-Jun (Department of Neurosurgery, Chuncheon Sacred Heart Hospital, College of Medicine, Hallym University)
  • 발행 : 2008.08.28
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초록

We report a very rare case of a rapidly calcified chronic epidural hematoma (EDH) in a neonate. A 26-day-old female infant was referred to us from a regional hospital because of drowsy mentality and a seizure attack. She was delivered through caesarian section because normal spontaneous vaginal delivery was prolonged and failed. At birth, mild scalp swelling was found on the right frontal area. Scalp swelling was spontaneously resolved and she was discharged without any problems. On the 25th day after her birth, the baby presented with drowsiness and hypotonia following a generalized tonic-clonic seizure. Magnetic resonance imaging (MRI) and a computed tomography (CT) scan revealed a chronic EDH that had a thick layer of calcification. A small burr-hole trephination was performed and a single silastic drainage catheter was inserted. After the operation, a total of 12 ml of liquefied hematoma was drained, and the patient's mentality improved from drowsiness to alertness. The patient was asymptomatic when discharged.

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참고문헌

  1. Chang JH, Choi JY, Chang JW, Park YG, Kim TS, Chung SS : Chronic epidural hematoma with rapid ossification. Childs Nerv Syst 18 : 712-716, 2002 https://doi.org/10.1007/s00381-002-0664-2
  2. Chung SW, Park SH, Hwang SK : Neonatal cephalohematoma and epidural hematoma by birth trauma. J Korean Neurosurg Soc 39 : 464-466, 2006
  3. Erdogan B, Sen O, Bal N, Cekinmez M, Altinors N : Rapidly calcifying and ossifying epidural hematoma. Pediatr Neurosurg 39 : 208-211, 2003 https://doi.org/10.1159/000072473
  4. Ferriero DM : Neonatal brain injury. N Engl J Med 351 : 1985-1995, 2004 https://doi.org/10.1056/NEJMra041996
  5. Hamlat A, Heckly A, Adn M, Poulain P : Pathophysiology of intracranial epidural haematoma following birth. Med Hypotheses 66 : 371-374, 2006 https://doi.org/10.1016/j.mehy.2005.08.045
  6. Heyman R, Heckly A, Magagi J, Pladys P, Hamlat A : Intracranial epidural hematoma in newborn infants : clinical study of 15 cases. Neurosurgery 57 : 924-929, 2005 https://doi.org/10.1227/01.NEU.0000180026.73246.bf
  7. Kawata Y, Kunimoto M, Sako K, Hashimoto M, Suzuki N, Ohgami S, et al : [Ossified epidural hematomas : report of two cases]. No Shinkei Geka 22 : 51-54, 1994
  8. King SJ, Boothroyd AE : Cranial trauma following birth in term infants. Br J Radiol 71 : 233-238, 1998 https://doi.org/10.1259/bjr.71.842.9579191
  9. Kotil K, Akcetin MA : Asymptomatic chronic ossified epidural hematoma in a child : a rare entity. Ulusal Travma Acil Cerrahi Derg 12 : 164-166, 2006
  10. Mathuriya SN, Kak VK, Banerjee AK : Ossified epidural haematoma. Report of two cases. Clin Neurol Neurosurg 91 : 269-272, 1989 https://doi.org/10.1016/0303-8467(89)90124-8
  11. Park SH, Hwang SK : Surgical treatment of subacute epidural hematoma caused by a vacuum extraction with skull fracture and cephalohematoma in a neonate. Pediatr Neurosurg 42 : 270-272, 2006 https://doi.org/10.1159/000092369
  12. Yamamoto T, Enomoto T, Nose T : Epidural hematoma associated with cephalohematoma in a neonate--case report. Neurol Med Chir 35 : 749-752, 1995 https://doi.org/10.2176/nmc.35.749