因小脑幕撕裂导致新生儿严重幕上硬膜下血肿。
Newborn with severe supratentorial subdural hematoma due to laceration of the tentorium cerebelli.
机构信息
Department of Neurosurgery, Kansai Medical University, 2-5-1 Shinmachi, Hirakata City, Osaka, 573-1010, Japan.
出版信息
Childs Nerv Syst. 2023 Jan;39(1):261-264. doi: 10.1007/s00381-022-05588-3. Epub 2022 Jun 21.
PURPOSE
A rare case of a newborn girl born by a normal vaginal delivery who developed a severe supratentorial subdural hematoma due to a laceration in the tentorium cerebelli is presented.
METHODS AND RESULTS
The girl, born by normal vaginal delivery at 39 weeks and 4 days of gestation, showed an intermittent decrease in oxygen saturation and bulging of the anterior fontanelle. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a subdural hematoma centered in the left occipital region with a midline shift. Hematoma evacuation with craniotomy was performed, and the source of bleeding was a laceration of the tentorium cerebelli.
CONCLUSION
Severe supratentorial subdural hematomas can occur due to laceration of the tentorium cerebelli even in a normal vaginal delivery.
目的
本文报道了一例罕见的新生儿，该女婴经正常阴道分娩，因小脑幕撕裂导致严重的额顶部硬脑膜下血肿。
方法与结果
该女婴胎龄 39 周+4 天，经正常阴道分娩，出生后出现间歇性血氧饱和度下降和前囟膨出。头颅 CT 和 MRI 显示左枕叶区为中心的硬脑膜下血肿，伴有中线移位。行开颅血肿清除术，出血源为小脑幕撕裂。
结论
即使在正常阴道分娩中，小脑幕撕裂也可导致严重的额顶部硬脑膜下血肿。
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