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TRAUMATIC ACUTE EPIDURAL HEMATOMA IN A NEWBORN: A CASE REPORT

Year 2011, Volume: 5 Issue: 1, 33 - 36, 20.04.2011

Abstract

Epidural hematoma in newborn infants is a very rare condition because the dura firmly adheres to the overlying skull bone and dural arteries are not embedded into the cranium. Traumas may cause more morbid and mortal conditions because of the disorders of the coagulation mechanism especially in newborns; therefore, epidural hematoma in newborn has a special importance for surgery. A newborn was admitted to our clinic with a history of consciousness impairment because of falling just after delivery. Computed tomograpy showed 5x2cm sized hyperdense lesion on the right parietal region concordant to acute epidural hematoma. The operation was performed immediately and epidural hematoma was drainaged. We herein wanted to draw attention to the operation performed appropriately and on time in the neonatal period.

References

  • 1. Hepgül KT, Sencer A: Çocukluk Çağı Kafa Travmaları; Temel Nöroşirürji. Cilt I. 2005; 28 (2); 311.
  • 2. Dhellemmes P, Lejeune JP, Chris-tiaens JL, Combelles G: Traumatic extradural hematomas in infancy and childhood. Experience with 144 cases. J Neurosurg. 1985;62(6):861-4.
  • 3. Flannery AM, Houle P: Epidural Hematoma. In: Textbook of neurological surgery. Batjer HH and Loftus CM(edt). Baltimore; Lippincott, Williams&Wilkins; 2002:1091-1095.
  • 4. Tagaki T, Nagai R, Wakabayashi S, Mizawa I, Hayashi K: Extradural hemorrhage in the newborn as a result of birth trauma: Childs Brain 1978; 4(5):306-318.
  • 5. Ciurea AV, Kapsalaki EZ, Coman TC, Roberts JL, Robinson JS 3rd, Tascu A, et al: Supratentorial epidural heam-atoma of traumatic etiology in infants. Child Nerv Syst 2007; 23:335-341.
  • 6. Sanchez JI, Paidos CN: Childhood Trauma. Surgical Clinics of North America. 1999;79(6): 1503-1535.
  • 7. Paşaoğlu A, Orhon C, Koç K, Selçuklu A, Akdemir H, Uzunoğlu H: Traumatic extradural haematomas in pediatric age group. Acta Neurochir (Wien) 1990; 106(3-4): 136-139.
  • 8. Hamlat A, Heckly A, Adn M, Poulain P: Pathophyssiology of intracranial epidural haematoma following birth: Medical Hypotheses 2006;66(2): 371-374.
  • 9. Akiyama Y, Moritake K, Maruyama N, Takamura M, Yamasaki T: Acute epidural hematoma related to casarean section in a neonate with Chiari II malformation. Childs Nerv Syst 2001; 17(4-5):290-293.
  • 10. Govaert P: Epidural haematoma (ce-phal hematoma internum, in the posterior fossa in neonates. Surg Neurol 1982;17(5):341-343.V
  • 11. MoLaurin RL/ Towbin R. Post-Traumatic Hematomas. Pediatric Neurosurgery, 2. baskı. Philadelphia: W.B Saunders Company; 1989:277-289.
  • 12. Durham SR, Liu KC, Selden NR. Utility of serial computed tomography imag-ing in pediatric patients with head trauma. J. Neurosurg 2006;105(5 Suppl): 365-369.
  • 13. Pillay R, Peter JC: Extradural haematomas in children. S.Afr. Med J. 1995;85(7): 672-674.
  • 14. Ersahin Y, Mutluer S, Guzelbag E; Extradural hematoma; nalysis of 146 cases. Chid Nerv Syst 1999;9(2):96-99.
  • 15. ZimmermanRA, BilaniukLT. Pediatric head trauma Neuroimaging Clin. N Am. 1994;4:349-366.
  • 16. Gürelik M, Kars HZ: Çocukluk Çağı Kafa Travmaları; Temel Nöroşirürji Cilt I. Bölüm 2010;44,618.

YENİDOĞAN DÖNEMİNDE GÖRÜLEN TRAVMATİK AKUT EPİDURAL HEMATOM: OLGU SUNUMU

Year 2011, Volume: 5 Issue: 1, 33 - 36, 20.04.2011

Abstract

Yenidoğan döneminde epidural hematomlar (EDH) duranın kemiğe yapışık olması ve dural arterlerin kafatası kemikleri içine gömülü olmamalarından dolayı oldukça seyrek görülür. Ancak, özellikle erken yenidoğan döneminde koagulasyon mekanizmasında gelişebilecek bozukluklar nedeniyle de travmalar daha morbit ve mortal seyredebilecektir. Bu nedenle de cerrahi yönden ayrı bir öneme sahiptir. Doğum sonrası düşme sonucu şuur bozukluğu ifadesi ile kliniğimize kabul edilen bebeğin kranial bilgisayarlı tomografi (BT) tetkikinde sağda parietal bölgede 5x2 cm. boyutlarında akut epidural hematom ile uyumlu hiperdens lezyon gözlendi. Bunun üzerine bebek acilen operasyona alındı ve kranitomi ile epidural hematom boşaltıldı. Bu olgu ile erken yenidoğan döneminde zamanında ve uygun cerrahi yaklaşımın önemine dikkat çekilmek istenmiştir.

Dr. Ayhan TEKİNER, Dr. Mehmet Akif BAYAR, Dr. Yavuz Selim ERKOÇ

References

  • 1. Hepgül KT, Sencer A: Çocukluk Çağı Kafa Travmaları; Temel Nöroşirürji. Cilt I. 2005; 28 (2); 311.
  • 2. Dhellemmes P, Lejeune JP, Chris-tiaens JL, Combelles G: Traumatic extradural hematomas in infancy and childhood. Experience with 144 cases. J Neurosurg. 1985;62(6):861-4.
  • 3. Flannery AM, Houle P: Epidural Hematoma. In: Textbook of neurological surgery. Batjer HH and Loftus CM(edt). Baltimore; Lippincott, Williams&Wilkins; 2002:1091-1095.
  • 4. Tagaki T, Nagai R, Wakabayashi S, Mizawa I, Hayashi K: Extradural hemorrhage in the newborn as a result of birth trauma: Childs Brain 1978; 4(5):306-318.
  • 5. Ciurea AV, Kapsalaki EZ, Coman TC, Roberts JL, Robinson JS 3rd, Tascu A, et al: Supratentorial epidural heam-atoma of traumatic etiology in infants. Child Nerv Syst 2007; 23:335-341.
  • 6. Sanchez JI, Paidos CN: Childhood Trauma. Surgical Clinics of North America. 1999;79(6): 1503-1535.
  • 7. Paşaoğlu A, Orhon C, Koç K, Selçuklu A, Akdemir H, Uzunoğlu H: Traumatic extradural haematomas in pediatric age group. Acta Neurochir (Wien) 1990; 106(3-4): 136-139.
  • 8. Hamlat A, Heckly A, Adn M, Poulain P: Pathophyssiology of intracranial epidural haematoma following birth: Medical Hypotheses 2006;66(2): 371-374.
  • 9. Akiyama Y, Moritake K, Maruyama N, Takamura M, Yamasaki T: Acute epidural hematoma related to casarean section in a neonate with Chiari II malformation. Childs Nerv Syst 2001; 17(4-5):290-293.
  • 10. Govaert P: Epidural haematoma (ce-phal hematoma internum, in the posterior fossa in neonates. Surg Neurol 1982;17(5):341-343.V
  • 11. MoLaurin RL/ Towbin R. Post-Traumatic Hematomas. Pediatric Neurosurgery, 2. baskı. Philadelphia: W.B Saunders Company; 1989:277-289.
  • 12. Durham SR, Liu KC, Selden NR. Utility of serial computed tomography imag-ing in pediatric patients with head trauma. J. Neurosurg 2006;105(5 Suppl): 365-369.
  • 13. Pillay R, Peter JC: Extradural haematomas in children. S.Afr. Med J. 1995;85(7): 672-674.
  • 14. Ersahin Y, Mutluer S, Guzelbag E; Extradural hematoma; nalysis of 146 cases. Chid Nerv Syst 1999;9(2):96-99.
  • 15. ZimmermanRA, BilaniukLT. Pediatric head trauma Neuroimaging Clin. N Am. 1994;4:349-366.
  • 16. Gürelik M, Kars HZ: Çocukluk Çağı Kafa Travmaları; Temel Nöroşirürji Cilt I. Bölüm 2010;44,618.
There are 16 citations in total.

Details

Primary Language Turkish
Subjects Brain and Nerve Surgery (Neurosurgery)
Journal Section Case Reports
Authors

Ayhan Tekiner

Publication Date April 20, 2011
Published in Issue Year 2011 Volume: 5 Issue: 1

Cite

APA Tekiner, A. (2011). YENİDOĞAN DÖNEMİNDE GÖRÜLEN TRAVMATİK AKUT EPİDURAL HEMATOM: OLGU SUNUMU. Türk Tıp Dergisi, 5(1), 33-36.

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