Eser Olcay, Cosar Murat, Aslan Adem, Koken Resit, Aktepe Fatma, Eser Betul
Department of Neurosurgery, Kocatepe University, Faculty of Medicine, Afyonkarahisar, Turkey.
Neurol Med Chir (Tokyo). 2008 Apr;48(4):176-8. doi: 10.2176/nmc.48.176.
A 45-day-old infant presented with a rare case of intracerebral hematoma complicated with brain abscess which developed after vitamin K deficiency. He was admitted to our emergency department with complaints of fever and confusion. Physical, neurological, and laboratory examinations and cranial computed tomography identified vitamin K deficiency and intracerebral hematoma. He started to suffer convulsions. The patient underwent surgery. A brain abscess was discovered with an intracerebral hematoma. The intracerebral hematoma and abscess were evacuated and antibiotic therapy was initiated. Convulsions became rare and were controlled with midozalam administration. Follow-up computed tomography after 6 months showed encephalomalacic changes in the temporoparietal area. If feeding depends only on human milk, the amount of vitamin K prophylaxis given to neonates should be increased to support vitamin K related factors.
一名45天大的婴儿出现了罕见的脑内血肿合并脑脓肿病例,该病症在维生素K缺乏后发生。他因发热和意识模糊被送至我们的急诊科。体格检查、神经检查、实验室检查以及头颅计算机断层扫描确定为维生素K缺乏和脑内血肿。他开始出现惊厥。患者接受了手术。术中发现一个伴有脑内血肿的脑脓肿。脑内血肿和脓肿被清除,并开始使用抗生素治疗。惊厥变得少见,并通过咪达唑仑给药得到控制。6个月后的随访计算机断层扫描显示颞顶叶区域出现脑软化改变。如果仅依靠母乳喂养,应增加给予新生儿的维生素K预防剂量,以维持与维生素K相关的凝血因子水平。