Perinatal infratentorial haemorrhage: a rare but possibly life-threatening condition.

Henzi, Bettina Cornelia; Wagner, Bendicht Peter; Verma, Rajeev Kumar; Bigi, Sandra (2017). Perinatal infratentorial haemorrhage: a rare but possibly life-threatening condition. BMJ case reports, 2017 BMJ Publishing Group 10.1136/bcr-2017-221144

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BACKGROUND Perinatal infratentorial haemorrhage (PIH) is a rare birth complication associated with abnormal labour. CASE PRESENTATION A baby boy was born by vacuum extraction at 41 weeks' gestational age. The pregnancy was uneventful and Apgar scores were 3/6/9. Following initial resuscitation, insufficient and irregular breathing, non-reactive pupils and absence of spontaneous movements were noted. A diagnosis of perinatal asphyxia with hypoxic-ischaemic encephalopathy (HIE) was considered. Therapeutic hypothermia (TH) for 72 hours was initiated. Cerebral ultrasound showed only a mildly hyperechogenic periventricular substance. A brain MRI on the fourth day of life revealed a subdural haemorrhage in the posterior fossa with compression of the fourth ventricle. CONCLUSION PIH is an important differential diagnosis to HIE that can be missed with ultrasound. PIH is a treatable condition but may be aggravated by TH. Therefore, in neonates at risk for PIH, a more detailed ultrasound protocol or brain MRI should be considered early.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

UniBE Contributor:

Henzi, Bettina Cornelia; Wagner, Bendicht Peter; Verma, Rajeev Kumar and Bigi, Sandra

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1757-790X

Publisher:

BMJ Publishing Group

Language:

English

Submitter:

Martin Zbinden

Date Deposited:

19 Dec 2017 08:41

Last Modified:

19 Dec 2017 08:41

Publisher DOI:

10.1136/bcr-2017-221144

PubMed ID:

29196306

Uncontrolled Keywords:

hydrocephalus neonatal and paediatric intensive care neuroimaging paediatrics

URI:

https://boris.unibe.ch/id/eprint/107725

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