新生儿慢性硬膜下血肿：两例报告及文献复习

Chronic subdural hematoma of the neonate: report of two cases and literature review.

作者信息

Powers Ciaran J, Fuchs Herbert E, George Timothy M

机构信息

Division of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

Pediatr Neurosurg. 2007;43(1):25-8. doi: 10.1159/000097521.

DOI:10.1159/000097521

PMID:17190984

Abstract

We report the cases of 2 infants who were born with macrocephaly and bulging fontanelles and were subsequently found to have chronic subdural hematomas on imaging studies. The etiology of 1 infant was likely due to an inherent coagulopathy, while no etiology could be found for the other. The subdural hematomas were managed by craniotomy in 1 infant and serial subdural taps in the other. There are currently only 8 other case reports of chronic subdural hematoma of the neonate in the literature. Our cases and a brief review of the literature are presented.

摘要

我们报告了2例出生时患有巨头畸形和囟门膨出的婴儿病例，随后影像学检查发现他们患有慢性硬膜下血肿。其中1例婴儿的病因可能是先天性凝血障碍，而另一例未发现病因。1例婴儿通过开颅手术治疗硬膜下血肿，另一例则进行了系列硬膜下穿刺。目前文献中仅有另外8例新生儿慢性硬膜下血肿的病例报告。本文介绍了我们的病例及对文献的简要回顾。