Extensive subdural hematoma in full term neonate due to falcine laceration

Subdural hematoma in supratentorial location occur due to rupture of bridging veins or by laceration of falx, the latter entity being extremely uncommon cause of hemorrhage in full term new-born neonate who has been delivered by non-instrumental vaginal delivery. Compressive effects on the fetal par...

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Main Authors: V. Umamaheswara Reddy, Amit Agrawal, H. Suryaprakash, Vankineni Srikanth, G. Mithilasri
Format: Article
Language:English
Published: SpringerOpen 2015-03-01
Series:Egyptian Pediatric Association Gazette
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1110663815000063
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author V. Umamaheswara Reddy
Amit Agrawal
H. Suryaprakash
Vankineni Srikanth
G. Mithilasri
author_facet V. Umamaheswara Reddy
Amit Agrawal
H. Suryaprakash
Vankineni Srikanth
G. Mithilasri
author_sort V. Umamaheswara Reddy
collection DOAJ
description Subdural hematoma in supratentorial location occur due to rupture of bridging veins or by laceration of falx, the latter entity being extremely uncommon cause of hemorrhage in full term new-born neonate who has been delivered by non-instrumental vaginal delivery. Compressive effects on the fetal parietal bones by rigid maternal pelvic structures result in frontal–occipital elongation and vertical or oblique molding. This in turn causes cranio-caudal stretching of both the falx and tentorium. Normally the give-away is at the falcine and tentorial junctions, rarely only falcine laceration can result. Most of massive subdural hematomas due to falx laceration, tentorial laceration or occipital diastasis have a rapid lethal course or patients may have permanent neurological disability. We describe a case of full term neonate who had extensive subdural and parenchymal hemorrhage resulting from falcine tear.
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spelling doaj.art-f2ef3275bb334953aefe75d1c743f3362022-12-21T19:02:42ZengSpringerOpenEgyptian Pediatric Association Gazette1110-66382015-03-01631323410.1016/j.epag.2015.02.005Extensive subdural hematoma in full term neonate due to falcine lacerationV. Umamaheswara Reddy0Amit Agrawal1H. Suryaprakash2Vankineni Srikanth3G. Mithilasri4Department of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaDepartment of Neurosurgery, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaDepartment of Pediatrics, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaDepartment of Radiology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaDepartment of Obstetrics and Gynaecology, Narayana Medical College Hospital, Chinthareddypalem, Nellore, Andhra Pradesh, IndiaSubdural hematoma in supratentorial location occur due to rupture of bridging veins or by laceration of falx, the latter entity being extremely uncommon cause of hemorrhage in full term new-born neonate who has been delivered by non-instrumental vaginal delivery. Compressive effects on the fetal parietal bones by rigid maternal pelvic structures result in frontal–occipital elongation and vertical or oblique molding. This in turn causes cranio-caudal stretching of both the falx and tentorium. Normally the give-away is at the falcine and tentorial junctions, rarely only falcine laceration can result. Most of massive subdural hematomas due to falx laceration, tentorial laceration or occipital diastasis have a rapid lethal course or patients may have permanent neurological disability. We describe a case of full term neonate who had extensive subdural and parenchymal hemorrhage resulting from falcine tear.http://www.sciencedirect.com/science/article/pii/S1110663815000063Intracranial hemorrhageSubdural hemorrhageFalcine laceration
spellingShingle V. Umamaheswara Reddy
Amit Agrawal
H. Suryaprakash
Vankineni Srikanth
G. Mithilasri
Extensive subdural hematoma in full term neonate due to falcine laceration
Egyptian Pediatric Association Gazette
Intracranial hemorrhage
Subdural hemorrhage
Falcine laceration
title Extensive subdural hematoma in full term neonate due to falcine laceration
title_full Extensive subdural hematoma in full term neonate due to falcine laceration
title_fullStr Extensive subdural hematoma in full term neonate due to falcine laceration
title_full_unstemmed Extensive subdural hematoma in full term neonate due to falcine laceration
title_short Extensive subdural hematoma in full term neonate due to falcine laceration
title_sort extensive subdural hematoma in full term neonate due to falcine laceration
topic Intracranial hemorrhage
Subdural hemorrhage
Falcine laceration
url http://www.sciencedirect.com/science/article/pii/S1110663815000063
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