Perinatal infratentorial haemorrhage: a rare but possibly life-threatening condition.
BMJ Case Rep
; 20172017 Dec 01.
Article
en En
| MEDLINE
| ID: mdl-29196306
ABSTRACT
BACKGROUND:
Perinatal infratentorial haemorrhage (PIH) is a rare birth complication associated with abnormal labour. CASE PRESENTATION A baby boy was born by vacuum extraction at 41 weeks' gestational age. The pregnancy was uneventful and Apgar scores were 3/6/9. Following initial resuscitation, insufficient and irregular breathing, non-reactive pupils and absence of spontaneous movements were noted. A diagnosis of perinatal asphyxia with hypoxic-ischaemic encephalopathy (HIE) was considered. Therapeutic hypothermia (TH) for 72 hours was initiated. Cerebral ultrasound showed only a mildly hyperechogenic periventricular substance. A brain MRI on the fourth day of life revealed a subdural haemorrhage in the posterior fossa with compression of the fourth ventricle.CONCLUSION:
PIH is an important differential diagnosis to HIE that can be missed with ultrasound. PIH is a treatable condition but may be aggravated by TH. Therefore, in neonates at risk for PIH, a more detailed ultrasound protocol or brain MRI should be considered early.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Asfixia Neonatal
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Encéfalo
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Hipoxia-Isquemia Encefálica
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Hematoma Subdural
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Hipotermia Inducida
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
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Guideline
Límite:
Adult
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Female
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Humans
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Male
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Newborn
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Pregnancy
Idioma:
En
Año:
2017
Tipo del documento:
Article