Neonatal infratentorial subdural hematoma contributing to obstructive hydrocephalus in the setting of therapeutic cooling: A case report

Comments on "Neonatal infratentorial subdural hematoma contributing to obstructive hydrocephalus in the setting of therapeutic cooling: A case report"

“…We have to recognize that the time frame for such decisions is short in order to prevent a possible permanent neurological damage. It is strongly supported by the literature that TH can induce abnormalities of coagulation mechanism and indirectly favor occurrence of intracranial hemorrhages similar to the one that Rousslang et al [ 10 ] describe in their case report[ 3 , 11 ]. Obviously, this effect can be reinforced in patients with already pathological ratings of coagulation parameters.…”

“…We have read with great interest the case reported by Rousslang et al [ 10 ]. The authors eloquently highlighted the potential association between TH and increased risk of intracranial hemorrhage in neonates with HIE.…”

“…The authors eloquently highlighted the potential association between TH and increased risk of intracranial hemorrhage in neonates with HIE. They described the case of a term neonate that after an emergent C-section delivery required intubation due to cardiopulmonary instability[ 10 ]. According to the authors, the neonate fulfilled the criteria for TH which was applied from the day one.…”

Neonatal Spontaneous Bilateral Posterior Fossa Chronic Subdural Hematoma and Obstructive Hydrocephalus with a Successful Outcome: A Case Report

“…These include subdural taps of the posterior fossa clot through the lambdoid suture and squamous portion of the occipital bone, occipital burr holes and PFSDH drainage, insertion of an external ventricular drain for obstructive hydrocephalus, and posterior fossa craniectomy and clot evacuation. [2][3][4] The management option preferred for our patient was a bilateral burrhole without an extra ventricular drain. In the literature, despite the presence of large clots and fourth ventricular obstruction, the requirement for CSF shunting in PFSDHs ranges from 30% to 50%.…”

“…There are less than 100 cases described in the literature. 1 Chronic PFSDH at this age is an even rarer disease entity, reported in only two cases 2,3 (Table 1). Neonates can present either with an acute presentation in the first few hours of life with brain stem dysfunction from compression or delayed presentation with signs of hydrocephalus.…”