Al-Hathlol Khalid, Al-Mane Khalid, Al-Hathal Muneef, Al-Tawil Khalil, Abulaimoun Bdair
Neonatology Division, Department of Pediatrics, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia.
Am J Perinatol. 2002 Jan;19(1):55-8. doi: 10.1055/s-2002-20174.
Air bubbles in the intracranial venous sinuses are known as a consequence to different causes including trauma, infection, and administration of intravenous contrast. Most of the previous reports demonstrated such cases in adults, with subsequent complications. We are presenting two premature babies who developed asymptomatic air bubbles in the right cavernous and left transverse sinuses, introduced accidentally upon cannulation of scalp veins. In both babies the air embolism disappeared in a few days without complications. Our cases suggest that these accidents could happen more frequently in neonates following scalp vein cannulation, which is a common procedure in sick babies, but they were overlooked as the outcome was uneventful. However, the precise nature and clinical significance of this lesion is not well understood in neonates.
颅内静脉窦中的气泡是由多种不同原因引起的，包括创伤、感染以及静脉注射造影剂。此前的大多数报告显示此类病例多发生于成人，且会引发后续并发症。我们报告了两例早产儿，他们在右侧海绵窦和左侧横窦出现了无症状气泡，这些气泡是在头皮静脉插管时意外引入的。在这两个婴儿中，空气栓塞在几天内消失，未出现并发症。我们的病例表明，这些意外在新生儿头皮静脉插管后可能更频繁地发生，而头皮静脉插管在患病婴儿中是一种常见操作，但由于结果平稳而被忽视。然而，新生儿中这种病变的确切性质和临床意义尚不完全清楚。
