The authors report a case of minimal prenatal trauma producing a large subdural hematoma in the fetus, which was diagnosed in utero by MR imaging. The occurrence of such a complication is extremely rare in the absence of significant maternal trauma. Prenatally diagnosed intracranial hemorrhages, particularly those that are subdural in origin, have a poor prognosis in most cases. After birth, brain compression required a complex neurosurgical intervention because simple hematoma evacuation was not possible. The clinical and neurological outcome at 6 months was excellent, as confirmed by the neuroimaging findings.
Piastra, M., Pietrini, D., Massimi, L., Caldarelli, M., De Luca, D., Minguell Del Lungo, L., De Carolis, M. P., Di Rocco, C., Conti, G., Zecca, E., Severe subdural hemorrhage due to minimal prenatal trauma, <<JOURNAL OF NEUROSURGERY. PEDIATRICS>>, 2009; (Dicembre): 543-546 [http://hdl.handle.net/10807/23501]
Severe subdural hemorrhage due to minimal prenatal trauma
Piastra, Marco;Pietrini, Domenico;Massimi, Luca;Caldarelli, Massimo;De Luca, Daniele;Minguell Del Lungo, Laura;De Carolis, Maria Pia;Di Rocco, Concezio;Conti, Giorgio;Zecca, Enrico
2009
Abstract
The authors report a case of minimal prenatal trauma producing a large subdural hematoma in the fetus, which was diagnosed in utero by MR imaging. The occurrence of such a complication is extremely rare in the absence of significant maternal trauma. Prenatally diagnosed intracranial hemorrhages, particularly those that are subdural in origin, have a poor prognosis in most cases. After birth, brain compression required a complex neurosurgical intervention because simple hematoma evacuation was not possible. The clinical and neurological outcome at 6 months was excellent, as confirmed by the neuroimaging findings.
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