Clinical Significance of Epidural Hematoma Related to Birth in Newborn.
10.14734/kjp.2016.27.2.103
- Author:
Dong Jun LEE
1
;
Yeon Kyung LEE
;
Sun Young KO
;
Son Moon SHIN
;
Byoung Hee HAN
Author Information
1. Department of Pediatrics, Cheil General Hospital & Women's Health Care Center, Dankook University College of Medicine, Seoul, Korea. ykleeped@hanmail.net
- Publication Type:Original Article
- Keywords:
Epidural hematoma;
Newborn
- MeSH:
Birth Injuries;
Drainage;
Hematoma*;
Hospitals, General;
Humans;
Incidence;
Infant;
Infant, Newborn*;
Live Birth;
Male;
Medical Records;
Neurologic Manifestations;
Parturition*;
Retrospective Studies;
Women's Health
- From:Korean Journal of Perinatology
2016;27(2):103-109
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Epidural hematoma (EDH) in newborn is very rare, but when it occurs it is usually due to birth injury. We have evaluated the incidence and clinical features of EDH related to birth in newborn. METHODS: We analyzed medical records of 12 newborns diagnosed with EDH at Cheil General Hospital and Women's Health Care Center from January 2000 to December 2015 retrospectively. RESULTS: The incidence of EDH related to birth was 0.01%, occurring in 1 of 10,000 live births. Of the total 12 cases, 10 occurred in male and 8 in vaginal delivery. Among them, 11 infants had evidences of birth injury. Clinical presentation was nonspecific: only 1 infant had neurologic symptoms. The temporooccipital area was the most frequent location of EDH. The median size of EDH was 3.2±0.8 cm in length and 1.2±0.7 cm in depth. Mass effect accompanied with midline shift on radiologic imaging was shown in one case. Surgical drainage was needed only in one infant with neurologic symptom and mass effect on radiologic imaging, while the others were treated conservatively. CONCLUSION: Neonatal EDH related to birth was treated conservatively in most cases. The radiologic mass effect and neurologic symptom should be considered as indication for surgical intervention.
