A Case of Fetal Subdural Hematoma at 31 Weeks of Gestation in a Woman on Warfarin Therapy after Cabrol’s Operation

Abstract

The case of a complicated pregnancy of a woman who had undergone Cabrol’s operation, and whose baby suffered from subdural hematoma is presented. Although the outcome of this case was not so severe, we would like to inform about the risk to both the mother and her fetus as a result of serious complications.

Warfarin‐associated fetal intracranial subdural hematoma: a case report

“…Therefore, we suspected fetal intracranial hemorrhage, which led to MRI diagnosis at the 35 weeks of gestation. In the other live-born infant, reported by Matsuda et al [ 7 ], fetal intracranial hemorrhage was diagnosed by ultrasonography and MRI in the 31 weeks of gestation, and cesarean section was performed after corticosteroid administration. Our patient delivered a live infant and the neurological prognosis is favorable at present.…”

Warfarin-Associated Fetal Intracranial Hemorrhage in Woman with Mitral Valve Replacements: A Case Report

“…Previously reported cases of warfarin-associated fetal intracranial hemorrhage in pregnant women with mechanical heart valve are shown in Table 1. [9][10][11][12][13] In most cases, the INR was kept within the therapeutic range, but the fetal intracranial hemorrhage occurred between 23 and 32 weeks of gestation. Five of seven cases had subdural hemorrhage and only one baby was alive.…”

The dynamic fetal brain

“…Although fetal subdurals may be idiopathic, other etiologies are possible, such as fetal thrombocytopenia secondary to immune 14 or infectious causes and warfarin therapy. 15 Subdural hematomas need to be documented prenatally, because they are associated with traumatic delivery, for which the delivering obstetrician may be held accountable. If this diagnosis is in doubt, fetal MRI may be useful.…”