Türk Nöroşirürji Dergisi 2010 , Vol 20 , Num 1
Epidural Hematoma in an 8-Hour Old After Traumatic Birth: A Case Report
Hayri KERTMEN, Erhan TÜRKOĞLU, Habibullah DOLGUN, Erdal Reşit YILMAZ, Zeki ŞEKERCİ
S.B. Dışkapı Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, 1.Beyin Cerrahi Kliniği, Ankara, Türkiye Traumatic epidural hematoma in infants is a rare entity. Its incidence increases when the fetus is traumatized while passing the narrow birth canal, particularly in nullipar mothers. The physical examination of an 8-hour old newborn after a prolonged delivery indicated cephalic hematoma in the right temporoparietal and left parietooccipital regions. Cranial computer tomography revealed 3 x 1.5 cm epidural hematoma under the skull fracture in the right temporoparietal region neighboring the cephalic hematoma. The hematoma was surgically evacuated. Head traumas during birth are common in the newborn period. Epidural hematoma is a rare condition because of specific cranial structure of the newborn, the dural adherenence and dural arteries are not embedded into the skull bones. Clinical symptoms are various. Surgical or conservative treatment options are controversial. Needle aspiration should be the primary choice of treatment in cases with accompanying cephalic hematoma for whom conservative treatment is ruled out. Hematomas larger than 1 cm and hematomas that cannot be aspirated should be surgically evacuated. Anahtar Kelimeler : Cephalohematoma, Cranial fracture, Epidural hematoma, Newborn