Severe brain injury with rupture of the superior sagittal sinus after vacuum extraction birth

Musahl, Christian; Schick, Uta

doi:10.3171/ped/2008/1/6/471

Cited by 13 publications

(11 citation statements)

References 8 publications

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“…Longer term outcomes in neonates who survive the acute SGH are generally good, with reported adverse outcomes ranging from normal to adverse outcomes of 17% . A single report of a higher rate of disability of 33% presumably reflects a more severe grade of SGH resulting in cerebral injury (Figs ,).…”

Section: Longer Term Outcomesmentioning

confidence: 99%

“…24 Brain trauma resulting in cerebral oedema and/or intracranial haemorrhage occurs in 33-40%. 24,28 Less common associations include subdural haematoma, 30 dural tear with herniation, 32 superior sagittal sinus rupture, 33 pseudomeningocoele 34,35 and encephalocoele, 36 and subconjunctival and retinal haemorrhage. Elevated intracranial pressure (ICP) from the SGH mass effect is reported.…”

Section: Diagnosismentioning

confidence: 99%

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Subgaleal haemorrhage in the newborn: A call for early diagnosis and aggressive management

Colditz

Lai

Cartwright

et al. 2014

J Paediatrics Child Health

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Subgaleal haemorrhage (SGH) is an important cause of preventable morbidity and mortality in the neonate. Its increased prevalence in recent years has coincided with the rise in the number of births assisted by vacuum extraction. Three deaths in Australia within the last 7 years have been the subject of two coronial inquests. Subsequent coronial reports have highlighted that neonatal death from SGH can be prevented if appropriate attention is paid to identification of risk factors, early diagnosis, close observation and aggressive treatment. To prevent unnecessary deaths, all involved in the care of the baby after birth need to be aware of the importance of prompt diagnosis, monitoring and early treatment of SGH.

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Section: Longer Term Outcomesmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Subgaleal haemorrhage in the newborn: A call for early diagnosis and aggressive management

Colditz

Lai

Cartwright

et al. 2014

J Paediatrics Child Health

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“…Nevertheless, fetal weight and head position should be evaluated carefully before operative vaginal delivery is undertaken to minimize the risk of bad fetal outcome [1,14] . The spectrum of possible sequelae after vacuum extraction is broad, and includes circular fracture; elevation of the outer table of skull bones; subperiosteal, intraosseous, subdural, or tentorial hematomas; and intra-cerebral and intra-ventricular haemorrhaging [8,[15][16][17] .…”

Section: Discussionmentioning

confidence: 99%

“…Sporadic reports exist in the literature on leptomeningeal cysts caused by vacuum extraction with dural tear, predominantly located over the anterior fontanelle and rupture of the anterior fontanelle and the sagittal suture [14,21] . The pattern of injury in our patient is similar to these reports and supports the hypothesis that laceration of the dura and brain tissue may be a factor in some cases of persistent, massive subgaleal fluid accumulation.…”

Section: Discussionmentioning

confidence: 99%

Severe Dural Tear And Brain Injury After Vacuum Extraction Birth

Linsler¹,

Senger²,

Flohr³

et al. 2015

ijnbd

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Traumatic brain lesions after vacuum extraction delivery are rare. Most common complication after operative vaginal deliveries is subgaleal hematoma applied by trained obstetricians. There are only single case reports about major complications after vacuum extraction delivery in the literature available. The authors present a case of a severe brain damage and dural tear after vacuum extraction delivery. In the presented case surgical treatment of the dural tear was required. The child recovered completely in follow up.

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“…Musahl et al describe a newborn infant with a large bifrontal CSF collection with cephalic hematoma, brain prolapse, and intracranial hematoma due to rupture of the superior sagittal sinus after vacuum extraction. The infant suffered from epilepsy and paresis of the right leg [3]. Kicklighter et al describe a severely injured child, with extensive damage due to subgaleal hemorrhage and a midline dural tear with herniation of the parietal lobes, caused by vacuum extraction delivery.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic encephalocele: a rare complication of vacuum extraction delivery

Jeltema

Hoving

2011

Childs Nerv Syst

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Vacuum extraction is a frequently used form of assisted vaginal delivery. Here we describe a child who was born by vacuum extraction delivery. Days after the birth, a frontal swelling, which was thought to be a caput succedaneum, enlarged. Imaging revealed an iatrogenic encephalocele with a large subcutaneous CSF collection. Surgical reconstruction was performed. A parasagittal dura defect was closed. There was no involvement of the superior sagittal sinus. To our knowledge, encephalocele is an infrequent complication of vacuum extraction delivery, rarely described in literature. The child had a good recovery after the operation, without neurologic deficits.

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Severe brain injury with rupture of the superior sagittal sinus after vacuum extraction birth

Cited by 13 publications

References 8 publications

Subgaleal haemorrhage in the newborn: A call for early diagnosis and aggressive management

Subgaleal haemorrhage in the newborn: A call for early diagnosis and aggressive management

Severe Dural Tear And Brain Injury After Vacuum Extraction Birth

Iatrogenic encephalocele: a rare complication of vacuum extraction delivery

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