Management and outcomes of posterior fossa subdural hematomas in neonates

Neurosurgery
R G PerrinR P Humphreys

Abstract

To review and analyze a contemporary series of 15 neonates who were treated for posterior fossa subdural hematomas (PFSDHs) during the era of computed tomography and magnetic resonance imaging. A retrospective chart review identified all neonates with PFSDHs for whom neurosurgical consultations were obtained for treatment planning. There were nine male and six female patients. The mean gestational age was 39 weeks. Nine of the 15 mothers of the patients were primiparous. Instrument-assisted delivery (forceps and/or vacuum extractor) was undertaken for seven patients. The mean birth weight of the infants was 3165 g (range, 2160-3930 g). The mean 5-minute Apgar score was 7.5. Symptoms of PFSDH developed within the first 24 hours of life in 13 neonates. The predominant symptoms and signs were failure to thrive, irritability, seizures, apnea, and bradycardia. Lumbar punctures to rule out central nervous system sepsis were performed in six neonates. Hemograms revealed that six neonates were anemic with low hemoglobins, five had low platelets, and four had abnormal prothrombin and/or partial thromboplastin times at the time of diagnosis. Computed tomography established the diagnosis of PFSDH in all cases. Magnetic resonance imaging w...Continue Reading

References

Feb 1, 1978·Archives of Neurology·N K BlankA Palakshappa
Aug 1, 1988·Neurologia Medico-chirurgica·H WanifuchiK Kitamura
Aug 1, 1989·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·A AsaiL E Becker
Jan 1, 1988·Pediatric Radiology·A von GontardB Adis
Jul 1, 1987·Clinical Pediatrics·S CokerM Fine
Oct 1, 1987·Surgical Neurology·A P Romodanov, Brodsky YuS
Apr 1, 1986·Developmental Medicine and Child Neurology·K Welch, R Strand
Jan 1, 1986·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·I D EllamsA L Agnoli
Mar 1, 1985·Pediatric Neurology·T K KochS L Davis
Apr 1, 1970·The Journal of Pediatrics·F H Gilles, J Shillito
Mar 1, 1971·Journal of Neurosurgery·L P Carter, H W Pittman
Jun 1, 1984·Surgical Neurology·S WakaiM Nagai
Nov 1, 1984·Journal of Neurosurgery·J HernansanzC Principe
Oct 1, 1983·Neurosurgery·A H MenezesW E Bell
Mar 1, 1981·The Journal of Pediatrics·M A FishmanM E Speer
Feb 1, 1981·Journal of Computer Assisted Tomography·G ScottiR P Humphries
Aug 1, 1994·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·M MullerJ T Rutka
Apr 1, 1964·Journal of Neurosurgery·G NORLEN, L GRANHOLM
Nov 28, 1959·The Medical Journal of Australia·T Y NELSON

❮ Previous
Next ❯

Citations

Dec 2, 1999·The New England Journal of Medicine·D TownerW M Gilbert
Apr 11, 2018·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Hyun Sook Hong, Ji Ye Lee
May 26, 2018·Pediatric Radiology·Arabinda Kumar ChoudharyAmaka C Offiah
Nov 17, 2001·Obstetrical & Gynecological Survey·P Miksovsky, W J Watson
Apr 8, 2006·Current Opinion in Obstetrics & Gynecology·Stergios K Doumouchtsis, Sabaratnam Arulkumaran
Dec 13, 2005·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Leslie A Parker
May 17, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Roland HaaseStefan Burdach
May 24, 2017·Frontiers in Cellular Neuroscience·Lancelot J MillarZoltán Molnár
Jun 7, 2020·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Shohei NagasakaJunkoh Yamamoto
Jun 2, 2005·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Matthieu VinchonPatrick Dhellemmes
Jun 4, 2010·Indian Pediatrics·Sudhir DixitNagendra Sinha
Feb 10, 2009·Pediatric Radiology·Mustafa Kemal Demir, Ercument Unlu
Dec 3, 2017·BMJ Case Reports·Bettina Cornelia HenziSandra Bigi
Apr 15, 2010·Neuroradiology·Linda S de Vries, Floris Groenendaal
Jan 19, 2013·Neurosurgery·Thomas BlauwblommeStéphanie Puget
Jan 30, 2019·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Malik ZabenP Leach
Apr 16, 2010·Neuroradiology·Annemieke J BrouwerLinda S de Vries
Oct 24, 2020·AJP Reports·Caterina CovielloCarlo Dani
Oct 20, 2001·American Journal of Obstetrics and Gynecology·C GardellaC Critchlow
Mar 22, 2005·Clinics in Perinatology·Michael R Uhing
Jul 28, 2004·Pediatric Clinics of North America·Michael R Uhing

❮ Previous
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