Traumatic intracranial hemorrhage in newborns
Neonatal traumatic head injuries (NTHI) can be life-threatening and require aggressive treatment. The indications, techniques, and results of brain decompression are not well defined in the literature. We studied prospectively cases of NTHI with intracranial traumatic lesions; skull fractures withou...
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| Veröffentlicht in: | Child's nervous system 2005-12, Vol.21 (12), p.1042-1048 |
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| container_title | Child's nervous system |
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| creator | Vinchon, Matthieu Pierrat, Véronique Tchofo, Patrice Jissendi Soto-Ares, Gustavo Dhellemmes, Patrick |
| description | Neonatal traumatic head injuries (NTHI) can be life-threatening and require aggressive treatment. The indications, techniques, and results of brain decompression are not well defined in the literature.
We studied prospectively cases of NTHI with intracranial traumatic lesions; skull fractures without underlying lesions were not included. We treated 17 cases of NTHI: 7 patients had a subdural hematoma, 3 had an extradural hematoma, and the others had subarachnoid hemorrhage. Surgical evacuation of intracranial clots was performed in 7 cases, by needle aspiration in 5 and by craniotomy in 2 patients with extradural hematomas.
The outcome was favorable in all but one patient, who had hemophilia A, and died of rebleeding at the age of 2 months.
Surgical decompression of intracranial hematomas due to NTHI is often unnecessary; however, it may be required in emergency because of poor clinical tolerance. Whenever possible, percutaneous needle aspiration is the treatment of choice. |
| doi_str_mv | 10.1007/s00381-004-1131-z |
| format | Article |
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We studied prospectively cases of NTHI with intracranial traumatic lesions; skull fractures without underlying lesions were not included. We treated 17 cases of NTHI: 7 patients had a subdural hematoma, 3 had an extradural hematoma, and the others had subarachnoid hemorrhage. Surgical evacuation of intracranial clots was performed in 7 cases, by needle aspiration in 5 and by craniotomy in 2 patients with extradural hematomas.
The outcome was favorable in all but one patient, who had hemophilia A, and died of rebleeding at the age of 2 months.
Surgical decompression of intracranial hematomas due to NTHI is often unnecessary; however, it may be required in emergency because of poor clinical tolerance. Whenever possible, percutaneous needle aspiration is the treatment of choice.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-004-1131-z</identifier><identifier>PMID: 15928969</identifier><language>eng</language><publisher>Germany</publisher><subject>Biopsy, Fine-Needle - methods ; Craniotomy - methods ; Decompression, Surgical - methods ; Female ; Fractures, Bone - complications ; Fractures, Bone - surgery ; Humans ; Infant, Newborn ; Intracranial Hemorrhage, Traumatic - classification ; Intracranial Hemorrhage, Traumatic - surgery ; Male ; Prospective Studies ; Tomography, X-Ray Computed - methods</subject><ispartof>Child's nervous system, 2005-12, Vol.21 (12), p.1042-1048</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-17ec5b6f08358320df0748845d59d1a0dca52bf1f1e71de451188135c2d83c3b3</citedby><cites>FETCH-LOGICAL-c365t-17ec5b6f08358320df0748845d59d1a0dca52bf1f1e71de451188135c2d83c3b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15928969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vinchon, Matthieu</creatorcontrib><creatorcontrib>Pierrat, Véronique</creatorcontrib><creatorcontrib>Tchofo, Patrice Jissendi</creatorcontrib><creatorcontrib>Soto-Ares, Gustavo</creatorcontrib><creatorcontrib>Dhellemmes, Patrick</creatorcontrib><title>Traumatic intracranial hemorrhage in newborns</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><description>Neonatal traumatic head injuries (NTHI) can be life-threatening and require aggressive treatment. The indications, techniques, and results of brain decompression are not well defined in the literature.
We studied prospectively cases of NTHI with intracranial traumatic lesions; skull fractures without underlying lesions were not included. We treated 17 cases of NTHI: 7 patients had a subdural hematoma, 3 had an extradural hematoma, and the others had subarachnoid hemorrhage. Surgical evacuation of intracranial clots was performed in 7 cases, by needle aspiration in 5 and by craniotomy in 2 patients with extradural hematomas.
The outcome was favorable in all but one patient, who had hemophilia A, and died of rebleeding at the age of 2 months.
Surgical decompression of intracranial hematomas due to NTHI is often unnecessary; however, it may be required in emergency because of poor clinical tolerance. Whenever possible, percutaneous needle aspiration is the treatment of choice.</description><subject>Biopsy, Fine-Needle - methods</subject><subject>Craniotomy - methods</subject><subject>Decompression, Surgical - methods</subject><subject>Female</subject><subject>Fractures, Bone - complications</subject><subject>Fractures, Bone - surgery</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intracranial Hemorrhage, Traumatic - classification</subject><subject>Intracranial Hemorrhage, Traumatic - surgery</subject><subject>Male</subject><subject>Prospective Studies</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0E1LAzEQBuAgiq2rP8CL9OQtOrOzyWaPUqwKBS_1HLJJ1q7sR012Efvr3dKCp4Fh3hfmYewW4QEB8scIQAo5QMYRCfn-jM0xI-JAAs7ZHFIheQ4ZzNhVjF8AKFRaXLIZiiJVhSzmjG-CGVsz1HZRd0MwNpiuNs1i69s-hK359NN-0fmfsg9dvGYXlWmivznNhH2snjfLV75-f3lbPq25JSkGjrm3opQVKBKKUnAV5JlSmXCicGjAWSPSssIKfY7OZwJRKSRhU6fIUkkJuz_27kL_Pfo46LaO1jeN6Xw_Ri2Vkrmcvk8YHg9t6GMMvtK7ULcm_GoEfTDSRyM9GemDkd5PmbtT-Vi23v0nTij0Bw3fYUs</recordid><startdate>20051201</startdate><enddate>20051201</enddate><creator>Vinchon, Matthieu</creator><creator>Pierrat, Véronique</creator><creator>Tchofo, Patrice Jissendi</creator><creator>Soto-Ares, Gustavo</creator><creator>Dhellemmes, Patrick</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20051201</creationdate><title>Traumatic intracranial hemorrhage in newborns</title><author>Vinchon, Matthieu ; Pierrat, Véronique ; Tchofo, Patrice Jissendi ; Soto-Ares, Gustavo ; Dhellemmes, Patrick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-17ec5b6f08358320df0748845d59d1a0dca52bf1f1e71de451188135c2d83c3b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Biopsy, Fine-Needle - methods</topic><topic>Craniotomy - methods</topic><topic>Decompression, Surgical - methods</topic><topic>Female</topic><topic>Fractures, Bone - complications</topic><topic>Fractures, Bone - surgery</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Intracranial Hemorrhage, Traumatic - classification</topic><topic>Intracranial Hemorrhage, Traumatic - surgery</topic><topic>Male</topic><topic>Prospective Studies</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vinchon, Matthieu</creatorcontrib><creatorcontrib>Pierrat, Véronique</creatorcontrib><creatorcontrib>Tchofo, Patrice Jissendi</creatorcontrib><creatorcontrib>Soto-Ares, Gustavo</creatorcontrib><creatorcontrib>Dhellemmes, Patrick</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vinchon, Matthieu</au><au>Pierrat, Véronique</au><au>Tchofo, Patrice Jissendi</au><au>Soto-Ares, Gustavo</au><au>Dhellemmes, Patrick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic intracranial hemorrhage in newborns</atitle><jtitle>Child's nervous system</jtitle><addtitle>Childs Nerv Syst</addtitle><date>2005-12-01</date><risdate>2005</risdate><volume>21</volume><issue>12</issue><spage>1042</spage><epage>1048</epage><pages>1042-1048</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>Neonatal traumatic head injuries (NTHI) can be life-threatening and require aggressive treatment. The indications, techniques, and results of brain decompression are not well defined in the literature.
We studied prospectively cases of NTHI with intracranial traumatic lesions; skull fractures without underlying lesions were not included. We treated 17 cases of NTHI: 7 patients had a subdural hematoma, 3 had an extradural hematoma, and the others had subarachnoid hemorrhage. Surgical evacuation of intracranial clots was performed in 7 cases, by needle aspiration in 5 and by craniotomy in 2 patients with extradural hematomas.
The outcome was favorable in all but one patient, who had hemophilia A, and died of rebleeding at the age of 2 months.
Surgical decompression of intracranial hematomas due to NTHI is often unnecessary; however, it may be required in emergency because of poor clinical tolerance. Whenever possible, percutaneous needle aspiration is the treatment of choice.</abstract><cop>Germany</cop><pmid>15928969</pmid><doi>10.1007/s00381-004-1131-z</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Biopsy, Fine-Needle - methods Craniotomy - methods Decompression, Surgical - methods Female Fractures, Bone - complications Fractures, Bone - surgery Humans Infant, Newborn Intracranial Hemorrhage, Traumatic - classification Intracranial Hemorrhage, Traumatic - surgery Male Prospective Studies Tomography, X-Ray Computed - methods |
| title | Traumatic intracranial hemorrhage in newborns |
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