Tsai Ping-Hung, Chen Hui-Ju, Ho Che-Sheng, Chiu Nan-Chang
Department of Pediatric Neurology, MacKay Children's Hospital, Taipei, Taiwan.
Keelung Hospital, Ministry of Health and Welfare, Taiwan.
J Med Ultrasound. 2018 Jan-Mar;26(1):56-58. doi: 10.4103/JMU.JMU_10_18. Epub 2018 Mar 28.
Posterior fossa hemorrhage is rare in term baby and difficult to assess. The clinical signs are nonspecific and usually delay the diagnosis. We present a 5-day-old male neonate of posterior fossa hemorrhage with the initial presentations of fever and seizure and early deduced by cranial ultrasonography findings as hyperechoic, asymmetric, ill-defined density and complicated with hydrocephalus. Magnetic resonance imaging of the head verified the diagnosis. Hemophilia A was confirmed thereafter by serology.
后颅窝出血在足月儿中较为罕见且难以评估。临床症状不具特异性,通常会延误诊断。我们报告一例5日龄男性新生儿后颅窝出血,最初表现为发热和惊厥,通过头颅超声检查发现高回声、不对称、边界不清的密度影,并伴有脑积水,早期得以推断。头颅磁共振成像证实了诊断。此后通过血清学确诊为甲型血友病。