Iranmehr Arad, Rashidbeygi Milad, Namvar Mohammad, Khadivi Ayda, Hoseynzadeh Ehsan, Payinmahalli Abolfazl
Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Korean J Neurotrauma. 2020 Aug 10;16(2):262-265. doi: 10.13004/kjnt.2020.16.e22. eCollection 2020 Oct.
We present a rare case of an acute epidural hematoma (EDH) in a neonate. The EDH was caused by a fall during natural vaginal delivery. The clinical findings were normal after fall and the first ultrasonographic study did not show any hematomas. A computed tomography scan on the second day after delivery showed an EDH with 20 mm thickness extending through a skull fracture into subgaleal space. We performed a craniotomy and removed the EDH and subgaleal hematoma. After the surgery we performed follow-up twice ultrasonographic study for seeking probable hematoma recurrence. The patient was discharged after postoperative 3 days without any neurological deficits.
我们报告一例罕见的新生儿急性硬膜外血肿(EDH)病例。该硬膜外血肿由自然阴道分娩时的一次摔倒所致。摔倒后临床检查结果正常,首次超声检查未发现任何血肿。分娩后第二天的计算机断层扫描显示硬膜外血肿厚度达20毫米,通过颅骨骨折延伸至帽状腱膜下间隙。我们进行了开颅手术,清除了硬膜外血肿和帽状腱膜下血肿。术后我们进行了两次超声随访检查,以寻找可能的血肿复发情况。患者术后3天出院,无任何神经功能缺损。