Subgaleal Hemorrhage As A Cause Of Anemia In Newborn: Case Report

Abstract

Subgaleal hemorrhage is a rare but serious birth-related adverse event that, when unrecognized, can result with death. It is caused by rupture of the emissary veins, which are connections between the dural sinuses and the scalp veins. Blood accumulates between the epicranial aponeurosis of the scalp and the periosteum. This potential space extends forward to the orbital margins, backward to the nuchal ridge and laterally to the temporal fascia. The incidence rate is reported to be approximately 0.04% in spontaneous delivery and 0.6% in vacuum extraction.Herein we report a subgaleal hemorrhage in a spontaneously vaginally delivered term infant presenting with anemia.

Keywords

• Subgaleal hematoma,newborn,spontaneous delivery

Yenidoğanda Anemi Nedeni Olarak Subgaleal Kanama: Olgu Sunumu

Abstract

Subgaleal kanama nadir olarak görülmekle bilikte fark edilmediği takdirde ölümle sonuçlanabilen doğum ilişkili ciddi bir durumdur. Skalp venleri ile dural sinüsler arasında bağlantı sağlayan emissural venlerin yırtılmasına bağlı olarak görülür. Kan epikranial aponöroz ile skalp periostu arasında birikir. Bu potansiyel aralık önde orbital sınıra, arkada nukal çıkıntıya ve lateralde temporal fasiaya kadar genişleyebilir.Subgaleal kanamainsidansı spontan vajinal doğumda %0.04 iken, vakum yardımlı doğumda %0.6 olarak bildirilmiştir. Subgaleal kanaması olan vakaların yaklaşık %49 unda vakum ile doğum bildirilmiştir. Bu yazıda, normal spontan vajinal yol ile zamanında doğan ve anemi ile prezente olan subgaleal kanama vakası sunulacaktır.

Keywords

• Subgaleal kanama,yenidoğan,müdahelesiz doğum

References

1. Chadwick LM, Pemberton PJ, Kurinczuk JJ. Neonatal subgaleal haema- toma: Associated risk factors, complications and outcome. J Paediatr Child Health 1996; 32: 228-32.
2. Davis DJ: Neonatal subgaleal hemorrhage: diagnosis and management. CJAM 164:1452–1453, 2001.
3. Plauche WC. Subgaleal hematoma: A complication of instrumental deli- very . JAMA 1980; 244: 1597 – 8.
4. Gebremariam A. Subgaleal haemorrhage: Risk factors and neurological and developmental outcome in survivors. Ann. Trop. Paediatr. 1999; 19: 45 – 50.
5. Elizabeth Schierholz, Susan R. Walker. Issues in Neonatal Transport. Responding to Traumatic Birth. Subgaleal Hemorrhage, Assessment, and Management During Transport Advances in Neonatal Care Vol. 14; 5:11-S15.
6. Uchil D, Arulkumaran S. Neonatal subgaleal hemorrhage and its relati- onship to delivery by vacuum extraction. Obstet. Gynecol. Surv. 2003; 58: 687 – 93.
7. Eliachar E, Bret AJ, Bardiaux M, Tassy R, Pheulpin J, Schneider M. He- matome souscutane cranein du nouveau-né . Arch. Fr. Pediatr. 1963; 20: 1105 – 11.
8. Hung-Yang Chang, Chun-Chih Peng, Hsin-An Kao, Chyong-Hsin Hsu, Han-Yang Hung, Jui-Hsing Chang Neonatal subgaleal hemorrhage: Clini- cal presentation, treatment, and predictors of poor prognosis. Pediatrics International 2007: 49; 903–907.

9. Ng PC, Siu YK, Lewindon PJ. Subaponeurotic haemorrhage in the 1990s: A 3-year surveillance. Acta Paediatr. 1995; 84: 1065 –9.
10. Ramzi A. Kilani, Julie Wetmore. Neonatal Subgaleal Hematoma: Presen- tation and Outcome- Radiological Findings and Factors Associated with Mortality. American Journal of Perinatology. 2006 :23; 1 ,41-48.
11. Strauss T, Kenet G, Schushan-Eisen I, Mazkerth R, Krint J. Rescue re- combinant activated factor VII for neonatal subgaleal hemorrhage. Isr Med Assoc. 2009; 10: 639-40.
12. Hunseler C, Kribs A, Eifenger F, Reth B. Recombinant activated factor se- ven in acute life-threatening bleeding in neonates: report on three cases and review of literature. J Perinatol. 2006; 11: 706–13.
13. Shimokaze T, Itani Y and Shibasaki J. Direct hyperbilirubinemia caused by severe subgaleal hemorrhage with ischemic liver injury. Pediatrics International 2011:53; 6, 1082-1084.
14. Thomas D. Ryan, Reed A. Dimmitt, R. Shane Tubbs, O. Adetola Roberts, Hanseek Choi, Marios Loukas et al. Blount, Contribution of surgical eva- cuation of a large subgaleal hematoma to the resolution of severe conju- gated hyperbilirubinemia in a neonate. J Neurosurg (2 Suppl Pediatrics) 2007;106:131–133.