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
Full text not available from this repository. (Request a copy)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, Bigi, Sandra |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1757-790X |
Publisher: |
BMJ Publishing Group |
Language: |
English |
Submitter: |
Anette van Dorland |
Date Deposited: |
19 Dec 2017 08:41 |
Last Modified: |
05 Dec 2022 15:08 |
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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