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Treatment of cranial epidural hematoma in a neonate by needle aspiration of a communicating cephalhematoma

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Abstract

A newborn presented on day 15 of life with an epidural hematoma, extending through a diastatic sutura squamosa in an external cephalhematoma. There was no skull fracture. The cephalhematoma was punctured twice with 24-h interval, reducing both the cephalhematoma and the epidural component. In the absence of neurological signs or symptoms, aspirating a cephalhematoma to evacuate the communicating epidural hematoma in a newborn infant may avoid more invasive surgical intervention.

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References

  1. Aoki N (1983) Epidural hematoma communicating with cephalhematoma in a neonate. Neurosurgery 13:55–57

    Article  CAS  PubMed  Google Scholar 

  2. Aoki N (1990) Epidural haematoma in the newborn infants: therapeutic consequences from the correlation between haematoma content and computed tomography features. Acta Neurochirurgica 106:65–67

    Article  CAS  PubMed  Google Scholar 

  3. Chan MSM, Wong Y, Lau SPC (2002) MRI and CT findings of infected cephalhaematoma complicated by skull vault osteomyelitis, transverse venous sinus thrombosis and cerebellar haemorrhage. Pediatr Radiol 32:376–379

    Article  PubMed  Google Scholar 

  4. Govaert P (1993) Superficial haemorrhage. Clin Develop Med 129:16–85

    Google Scholar 

  5. Heyman R, Heckly A, Magagi J et al (2005) Intracranial epidural hematoma in newborn infants: clinical study of 15 cases. Neurosurgery 57:924–929

    Article  PubMed  Google Scholar 

  6. Negishi H, Lee Y, Itoh K et al (1989) Nonsurgical management of epidural hematoma in neonates. Pediatr Neurol 5:253–256

    Article  CAS  PubMed  Google Scholar 

  7. Park SH, Hwang SK (2006) Surgical treatment of subacute epidural hematoma caused by a vacuum extraction with skull fracture and cephalohematoma in a neonate. Pediatr Neurosurg 42:270–272

    Article  PubMed  Google Scholar 

  8. Vachharajani A, Mathur A (2002) Ultrasound-guided needle aspiration of cranial epidural hematoma in a neonate: treating a rare complication of vacuum extraction. Am J Perinatol 19:401–404

    Article  PubMed  Google Scholar 

  9. Yamamoto T, Enomoto T, Nose T (1995) Epidural hematoma associated with cephalohematoma in a neonate. Neurol Med Chir 35:749–752

    Article  CAS  Google Scholar 

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The authors have no financial relationship or any other conflict of interest to declare.

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Authors and Affiliations

  1. Neonatal Intensive Care Unit, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium

    Koenraad Jan Smets

  2. Department of Neurosurgery, Heilig Hart Hospital, Wilgenstraat 2, 8800, Roeselare, Belgium

    Dimitri Vanhauwaert

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  1. Koenraad Jan Smets
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  2. Dimitri Vanhauwaert
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Correspondence to Koenraad Jan Smets.

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Smets, K.J., Vanhauwaert, D. Treatment of cranial epidural hematoma in a neonate by needle aspiration of a communicating cephalhematoma. Eur J Pediatr 169, 617–619 (2010). https://doi.org/10.1007/s00431-009-1071-4

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  • DOI: https://doi.org/10.1007/s00431-009-1071-4

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