Pathophysiology of intracranial epidural haematoma following birth

Hamlat, Abderrahmane; Heckly, Anne; Adn, Mahmoudreza; Poulain, Patrice

doi:10.1016/j.mehy.2005.08.045

Cited by 23 publications

(14 citation statements)

References 26 publications

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“…Time latency from birth to the first symptoms was less than 24 hours in most cases. No sex predominance was reported in this study [6]. Other studies suggest a male predominance, which could be explained by the fact that boys have a larger head circumference than girls [10].…”

Section: E20contrasting

confidence: 68%

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Epidural hematoma

Scheibl

Calderón

Borau

et al. 2012

Journal of Pediatric Surgery

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Epidural hematomas are rare birth injuries, and spontaneous presentation is exceptional. We present 2 cases of newborns with spontaneous epidural hematomas after delivery. In both cases, cerebral hemorrhage was associated with skull fracture and cephalohematoma. One newborn presented with neurologic symptoms in the form of convulsions, whereas the other was asymptomatic. Confirmation of the diagnosis was made by cranial computed tomography. Both cases were treated surgically by craniotomy. Follow-up showed normal neurologic development.

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Section: E20contrasting

confidence: 68%

“…Epidural hematomas are rare and self limited because of the firm adherence of dura to the overlying skull bone. Dura mater bone separation is the initiating event of epidural hematomas after birth [6]. Commonly, epidural hematomas are observed after traumatic delivery owing to instrumental delivery [7].…”

Section: Discussionmentioning

confidence: 99%

Epidural hematoma

Scheibl

Calderón

Borau

et al. 2012

Journal of Pediatric Surgery

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“…The bone can be dislocated due to an increased moulding of the vault’s bones during labour. Dura-bone cleavage occurs when the elasticity limits of the fetal dura mater is exceeded, usually during forceps or vacuum extraction, or incidentally during unassisted birth as in this case 2 3…”

Section: Discussionmentioning

confidence: 99%

Spontaneous perinatal epidural haemorrhage in a newborn

Kroon

Bok²,

Halbertsma³

2012

Case Reports

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A full-term neonate, born by caesarean section, presents with focal seizures. EEG and cranial ultrasound are normal. MRI of the cerebrum shows an epidural haematoma. Perinatal intracranial haemorrhage in the full-term newborn is an important cause of morbidity and mortality. Most perinatal intracranial haemorrhages are located either subdural or intracerebral, rarely epidural. Epidural haemorrhage is usually a complication of assisted delivery, however it may also occur without forcipal or vacuum extraction, as demonstrated in this case. An epidural haemorrhage should be suspected on clinical findings, even in the absence of an assisted delivery. As cranial ultrasound sonography often misses epidural haemorrhage due to parietal location of the haemorrhage, the diagnosis needs either cerebral CT or MRI.

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“…The pediatric dura is tightly adhered to the skull, and the meningeal arteries are not embedded within the skull (36), which creates another potential mechanism for EDH. In newborns, EDH may result from the dura mater separating from the skull secondary to compression (molding of the head) during delivery—usually at a suture line—and, by this mechanism, does not typically have an associated skull fracture (9).…”

Section: Intracranial Hemorrhagementioning

confidence: 99%

Birth Injury of the Cranium and Central Nervous System

Reichard¹

2008

Brain Pathology

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Birth injury of the scalp, skull and central nervous system (CNS) is a well-recognized complication of a difficult delivery. The rate of birth trauma has dropped precipitously and now accounts for less than 2% of neonatal deaths. Despite this dramatic decrease in birth-trauma mortality significant injuries still occur. A variety of risk factors clearly predispose certain infants to birth-related injury. Recent neuroradiology studies indicate that intracranial hemorrhage, even in asymptomatic infants, is not rare. Pathologists' (neuropathologists and forensic pathologists) appreciation of the spectrum of birth injuries and their sequelae is critical in order to be able to distinguish these from inflicted injuries and post-mortem changes.

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Pathophysiology of intracranial epidural haematoma following birth

Cited by 23 publications

References 26 publications

Epidural hematoma

Epidural hematoma

Spontaneous perinatal epidural haemorrhage in a newborn

Birth Injury of the Cranium and Central Nervous System

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