Jeltema Hanne-Rinck, Hoving Eelco W
Department of Neurosurgery, University Medical Centre Groningen, Hanzeplein 1, 9713 GZ Groningen, the Netherlands.
Childs Nerv Syst. 2011 Dec;27(12):2193-5. doi: 10.1007/s00381-011-1600-0. Epub 2011 Oct 11.
Vacuum extraction is a frequently used form of assisted vaginal delivery. Here we describe a child who was born by vacuum extraction delivery. Days after the birth, a frontal swelling, which was thought to be a caput succedaneum, enlarged. Imaging revealed an iatrogenic encephalocele with a large subcutaneous CSF collection. Surgical reconstruction was performed. A parasagittal dura defect was closed. There was no involvement of the superior sagittal sinus. To our knowledge, encephalocele is an infrequent complication of vacuum extraction delivery, rarely described in literature. The child had a good recovery after the operation, without neurologic deficits.
真空吸引术是常用的阴道助产方式。在此，我们描述一名通过真空吸引术分娩出生的儿童。出生数天后，原本被认为是产瘤的额部肿胀增大。影像学检查显示为医源性脑膨出，伴有大量皮下脑脊液积聚。进行了手术重建。矢状旁硬脑膜缺损得以闭合。上矢状窦未受累。据我们所知，脑膨出是真空吸引术分娩的罕见并发症，文献中鲜有描述。该患儿术后恢复良好，无神经功能缺损。
