Bilateral Subdural Hematomas in a Newborn Infant

Idiopathic Intracranial Haemorrhage in the Fetus

“…Stephens et al [3], however, reported a case of bilateral chronic subdural haematomas of various ages secondary to recurrent assaults on the mother during pregnancy. Other reports have highlighted further possible causes of intracranial bleeds, including homozygous factor X deficiency [4], alloimmune thrombocytopenia [5], A-V malformations [6] and perinatal trauma and hypoxic events.…”

The Role of the Pediatrician in Recognizing and Intervening on Behalf of Abused Women

“…2 Pregnant women may be at increased risk of abuse and this abuse may cause damage to the fetus. 3 When sensitively and confidentially questioned, 8% of a random sample of women attending a prenatal clinic reported abuse. 4 In a study of in-home homicides in three states, a history of domestic violence was significantly correlated with increased risk of homicide committed by a family member or intimate acquaintance.…”

Intrauterine subdural hemorrhage in a preterm neonate possibly associated with maternal low-molecular weight heparin treatment

“…Intrauterine subdural hemorrhage is rare and there are only few case reports published. [3][4][5] Etiology is unknown in many cases. Trauma to the fetal head is the most common factor described, for example maternal falls, assaults or motor vehicle accidents.…”

“…A cranial ultrasound and computed tomography scan on the first day of life showed bilateral subdural hematomas with calcification ( Figure 1). Coagulation studies showed a slightly increased international normalized ratio of 2.0 (norm for gestational age 0.61 to 1.70), decreased concentration of fibrinogen (0.6 g l À1 ; norm 1.5 to 3.7) and factor XIII (16%; norm 30 to 100), and a thrombocytopenia of 65 000 per mm 3 . The activated partial thromboplastin time and all other coagulation proteins including factor II, factor V, factor VII, factor VIII and factor IX were within the age-related limits; antifactor Xa activity was not measured.…”