Anterior fontanel herniation in group B streptococcus meningitis in newborns

Cueva, John Paul; Egel, Robert T.

doi:10.1016/0887-8994(94)90133-3

Cited by 6 publications

(1 citation statement)

References 11 publications

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“…Brain herniation through the anterior fontanelle resulting from increased intracranial pressure has been reported in both a 2-day-old and a 3-week-old infant in association with Group B Streptococcus infection, 12 but this is the first case report in association with a VE delivery. The mother did receive four doses of Penicillin prior to delivery secondary to a positive GBS culture and labor was complicated by rupture of the fetal membranes for 17 h prior to delivery.…”

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confidence: 86%

Subgaleal hemorrhage with dural tear and parietal-lobe herniation in association with a vacuum extraction

2007

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Use of the vacuum for operative vaginal deliveries has become more favorable with fewer obstetricians and family practitioners trained in the use of forceps. When compared with forcep-assisted deliveries, the vacuum has been associated with a higher incidence of subgaleal hemorrhage (SGH), cephalhematomas, skull and clavicular fractures, Erb's Palsy, intracranial hemorrhage and need for ICN admission. We report the case of an infant who developed a large SGH with midline dural tear and herniation of the medial aspect of the parietal lobes bilaterally in association with a vacuum extraction (VE) delivery. Counseling of families prior to instrumented delivery as to the potential complications, adherence to recommendations for abandoning operative vaginal delivery in favor of a cesarean section and close observation of those infants delivered by VE is warranted.

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confidence: 86%