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Acute Epidural Hematoma in Neonate Following Attempted Vacuum-Assisted Delivery. Case Report

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Abstract

An acute epidural hematoma (AEDH) has been reported to occur as a serious morbidity in association with a vacuum-assisted delivery. We experienced a neonate case with an AEDH who was delivered by emergency cesarean section after an attempted vacuum extraction procedure. Magnetic resonance imaging suggested a liquefied hematoma of fluid-fluid levels, with enlargement to a maximum thickness of 18 mm and lateral ventricular compression. Absence of symptoms indicating increased intracranial pressure, such as a tense anterior fontanelle, increased head circumference, seizure, and apnea, led to successful conservative therapy. Less-invasive treatment options and conservative management to avoid a craniotomy for an AEDH occurring in neonates are also discussed.

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Authors and Affiliations

  1. Department of Neurosurgery, Osaka General Medical Center, 3-1-56 Bandai-higashi, Sumiyoshi-ku, Osaka, 558-8558, Japan

    Hiroshi Yokota, Mitsuhisa Nishiguchi, Kosuke Mori, Haku Tanaka & Hiroyuki Hashimoto

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  1. Hiroshi Yokota
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  2. Mitsuhisa Nishiguchi
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  3. Kosuke Mori
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  4. Haku Tanaka
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  5. Hiroyuki Hashimoto
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Correspondence to Hiroshi Yokota.

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Yokota, H., Nishiguchi, M., Mori, K. et al. Acute Epidural Hematoma in Neonate Following Attempted Vacuum-Assisted Delivery. Case Report. SN Compr. Clin. Med. 2, 1226–1228 (2020). https://doi.org/10.1007/s42399-020-00372-3

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  • DOI: https://doi.org/10.1007/s42399-020-00372-3

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