Abstract
The main birth traumatic injuries of the skull and brain are described: caput succedaneum, subaponeurotic (subgaleal) hemorrhage, region of periosteal congestion of the skullcap, cephalhematoma, fractures of the skull bones, epidural hemorrhage, injuries of the cerebellar tentorium, injuries of the falx, bridging veins, and compression of the skull and brain. It is the detection of these lesions that is the basis for diagnosing the birth trauma of the skull and brain. The chapter describes in detail the law, first discovered by the author, between the location of the region of periosteal blood congestion (RPC) and the localization of Tentorium cerebelli (TC) laceration. The author explains why lesions of TC occur more often in his left half. A detailed morphological classification of TC injuries is given. The chapter focuses on signs of compression of the brain, which are often not detected.
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Rabelo NN, Matushita H, Cardeal DD. Traumatic brain lesions in newborns. Arq Neuropsiquiatr. 2017;75(3):180–8.
Aylamazyan EK, Novikov BN, Pavlova LP, et al. Midwifery. 4th ed. St. Petersburg: SpetsLit; 2003.
Bodyazhina VI, Zhmakin KN, Midwifery M: Medicine; 1979.
Peker E, Tuncer O, Doğan M, Kaya A, Bektaş M, Kırımi E. Escherichia coli infection in the newborn due to infected giant caput succadeneum. Tıp Araştırmaları Dergisi. 2010;8(2):119–21.
Volpe JJ. Neurology of the newborn. 5th ed. Philadelphia: WB Saunders; 2008.
Uhing MR. Management of birth injuries. Pediatr Clin N Am. 2004;51(4):1169–86.
Vlasyuk VV. On the causes and mechanisms of subdural hemorrhages and ruptures of the cerebellar tentorium in fetuses and newborns. Pediatrics. 1985;9:6–9.
Vlasyuk VV. Birth trauma and perinatal disorders of cerebral circulation. Nestor History. SPb; 2009.
Pukovskaya M, Schulman B. Cephalohematoma as birth trauma. Obstet Gynecol. 1941;6:19–21.
Chan MS, Wong YC, Lau SP, Lau KY, Ou Y. MRI and CT findings of infected cephalhaematoma complicated by skull vault osteomyelitis, transverse venous sinus thrombosis and cerebellar haemorrhage. Pediatr Radiol. 2002;32(5):376–9.
Fantacci C, Massimi L, Capozzi D, Romano V, Ferrara P, Chiaretti A. “Spontaneous” ping-pong fracture in newborns: case report and review of the literature. Signa Vitae. 2015;10(1):103–9.
Wigglesworth JS, Pape KE. Pathophysiology of intracranial haemorrhage in the newborn. J Perinat Med. 1980;8(3):119–33.
Vodolatsky MP, Vodolatsky VM. Injuries of the maxillofacial region in childbirth and their consequences. Stavropol: Stavropol University; 2009.
Coutelle C. Uber Prufungen der Mechanischen Pestigkeit des Tentorium Cerebelli bei. Virchows Arch Pathol Anat. 1960;333(1):10–21.
Galakhov EV. Trauma of the cerebellar tentorium as a cause of intracranial hemorrhage of the newborn. Akush ginek. 1957;6:51–4.
Mirshanova LN. The question of the pathogenesis of lesions of the cerebellar tentorium in fetuses and newborns. In: Second all-Russian scientific-practical conference of children's pathologists. M.; 1965. p. 32.
Nebieridze MA. The pathomorphology and pathogenesis of lesions of the cerebellar tentorium and a large sickle-shaped process of the fetuses and newborn children. Abstract Dis kand, Tbilisi; 1982.
Schmidtmann M. Uber die Ursachen des Tentoriumrisses beim Neugeborenen. Dtsch Med Wschr. 1958;83:1783–4.
Аstrinski S, Kästner A, Melenevskaya Z. To the question of injury to the cerebellar tentorium in the fetus during childbirth. J Study Early Child. 1931;2:93–101.
Gurevich PS, Sorokin AF. Perinatal pathology. In: The book: pathological anatomy of diseases of the fetus and child. M: Medicine; 1989. p. 38–121.
Vlasyuk VV, Lobzin YuV, Nesmeyanov AA. The pattern of the relationship between the location of the field periosteal stagnation of the roof of the skull and the localization of ruptures of the cerebellar tentorium in fetuses and neonates born during spontaneous labor and cephalic presentation. In: The collection: “scientific discoveries – 2010”. Moscow: RANS; 2011. p. 13–5.
Vlasyuk VV. Correlations between pathological changes of the skull roof during childbirth and localization of hemorrhages in the tentorium cerebelli in newborns. J Neurol Neurosci. 2016;7(3):115.
Hayden L, Moeckel E. In: Textbook of pediatric osteopathy, Moeckel E, Mitha N, editors. Birth and treating the baby. Edinburgh-Sydney: Elsevier; 2008. p. 43–77.
Rabtsevich TS. Cephalohematoma and its value as an indicator of the severity of the birth injury of the skull. Akush Ginek. 1961;3:68–71.
Russian Federation Patent No. 2422087, 18.02.2010. А diagnostic method of acyclicity on changes of the skull. Patent: Vlasyuk VV, Lobzin YuV, Nesmeyanov AA.
Muller D. Die subakuten Massenverschiebungen des Gehirns unter der Geburt. Leipzig: Thieme; 1973.
Gunther MD. Intrapartum asphyxia. Krasnoyarsk: Medical Institute; 1958.
Issell EP. Konfiguratin des Neugeborenens-chadels durch die mechanischen Krafte unter der Geburt und die Refiguration. Zbl Gynak. 1976;98(21):1301–6.
Bada HS, Miller JE, Menke JA, Menten TG, Bashiru M, Binstadt D, et al. Intracranial pressure and cerebral arterial pulsatile flow measurements in neonatal intraventricular hemorrhage. J Pediatr. 1982;100(2):291–6.
Kosmetatos N, Wilhains M. Effect of positioning and head banding on intracranial pressure in the premature infant. Pediatr Res. 1978;12(4):553.
Zirakadze AN. Maternal mechanisms of regulation of adequate oxygenation of the fetus. Messages an GSSR. 1983;3:617–20.
Zirakadze AN, Kintraya PYa. Experimental analysis of the value methods of control of functional state of the fetus during childbirth. In: Collection of scientific. Works Research Institute of Perinatal Medicine, Obstetrics and Gynecology, Tbilisi; 1983. p. 3–9.
Mocsary P, Komaromy B. Relationship between fetal intracranial pressure and fetal heart rate during labor. Am J Obstet Gynecol. 1970;106:407–11.
Newton TN, Goodwing AC. Compression of superior sagittal sinus by neonatal calvarial molding. Radiology. 1975;115(3):635–9.
Skvortsov IA, Ermolenko N. The developing nervous system in children in norm and pathology. Moscow, Medpress-inform, 2003.
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Vlasyuk, V.V. (2019). Extracranial and Intracranial Birth Injuries. Fractures of a Skull. In: Birth Trauma and Perinatal Brain Damage. Springer, Cham. https://doi.org/10.1007/978-3-319-93441-9_7
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DOI: https://doi.org/10.1007/978-3-319-93441-9_7
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