Abstract
Fetal intracranial hemorrhage affects 1 in every 10,000 pregnancies. In most cases, the etiology of the bleeding is multifactorial, and they can be either related to the mother or the fetus. Blunt prenatal trauma was occasionally associated with these hemorrhages, nevertheless, reports of hematomas secondary to mild traumas are rare. Within the prenatal intracranial bleedings, the most frequent are the subarachnoid hematoma and intraparenchymal, scarcely ever the epidural hematoma. Treating these bleedings is challenging due to the ongoing pregnancy. Thus, the prognosis is often reserved, with a mortality rate of 43% and 25% of neurological sequelae. Here, we report a singular case of a fetal epidural hematoma secondary to a mild blunt trauma at the third trimester with a good outcome.
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References
Ghi T, Simonazzi G, Perolo A et al (2003) Outcome of antenatally diagnosed intracranial hemorrhage: case series and review of the literature. Ultrasound Obstet Gynecol 22:121–130. https://doi.org/10.1002/uog.191
Ellestad SC, Shelton S, James AH (2004) Prenatal diagnosis of a trauma-related fetal epidural hematoma. Obstet Gynecol 104:1298–1300. https://doi.org/10.1097/01.AOG.0000141568.66660.0f
Whitby E, Griffiths P, Rutter S et al (2004) Frequency and natural history of subdural haemorrhages in babies and relation to obstetric factors. Lancet 363:846–851. https://doi.org/10.1016/S0140-6736(04)15730-9
Joseph JR, Smith BW, Garton HJL (2017) Blunt prenatal trauma resulting in fetal epidural or subdural hematoma: case report and systematic review of the literature. J Neurosurg Pediatr 19:32–37. https://doi.org/10.3171/2016.7.PEDS16282
De Spirlet M, Goffinet F, Philippe HJ et al (2000) Prenatal diagnosis of a subdural hematoma associated with reverse flow in the middle cerebral artery: case report and literature review
Breysem L, Cossey V, Mussen E et al (2004) Fetal trauma: brain imaging in four neonates. Eur Radiol 14:1609–1614. https://doi.org/10.1007/s00330-004-2357-6
Muench MV, Zheng M, Bilica PM, Canterino JC (2008) Prenatal diagnosis of a fetal epidural hematoma using 2- and 3-dimensional sonography and magnetic resonance imaging
Eto F, Tatsumura M, Iwabuchi S et al (2019) Clinical features of spontaneous spinal epidural hematoma. J Rural Med 14:206–210. https://doi.org/10.2185/jrm.3005
Tikvica Luetic A, Habek D, Stanojevic M et al (2016) Prenatal diagnosis of a fetal epidural hematoma. Z Geburtshilfe Neonatol 220:262–264. https://doi.org/10.1055/s-0042-113001
Cheung KW, Tan LN, Seto MTY et al (2019) Prenatal diagnosis, management, and outcome of fetal subdural haematoma: a case report and systematic review. Fetal Diagn Ther 46:285–295
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Germano, J.R.G., de Melo, A.C.T., Ribeiro, L.G. et al. Fetal epidural hematoma secondary to a mild blunt prenatal trauma: case report and review of the literature. Childs Nerv Syst 38, 683–686 (2022). https://doi.org/10.1007/s00381-021-05251-3
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DOI: https://doi.org/10.1007/s00381-021-05251-3