| Traumatic neonatal intracranial bleeding and stroke. | |
| | |
MedLine Citation:
|
PMID: 1519986 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Ischaemia within the regions supplied by vertebral and posterior cerebral arteries has been described as a complication of birth injury, either by direct trauma or by compression from a herniated temporal uncus. Ischaemia within the territory of the middle cerebral artery has been documented after a stretch injury of the vessel's elastica interna. From a series of seven personal observations on birth trauma and related cerebral stroke, we describe three neonates with the uncal herniation type of occipital stroke and four infants with hypoperfusion of the middle cerebral artery or one of its major branches. In three of the latter a basal convexity subdural haemorrhage probably induced the ischaemia, whereas in the other it was associated with haemorrhagic contusion of the parietal lobe. Experimental work and reports on older children support the idea that vasospasm due to surrounding extravasated blood can be one of the responsible mechanisms. Both forceps delivery and difficult vacuum extraction can be implicated in this supratentorial injury, leading to permanent neurological damage in at least half of the survivors in this series. |
| | |
Authors:
|
P Govaert; P Vanhaesebrouck; C de Praeter |
Related Documents
:
|
16614026 - Time dependent validity in the diagnosis of brain death using transcranial doppler sono... 8146736 - The transsylvian approach to middle cerebral artery bifurcation/trifurcation aneurysms. 8831206 - Intraparenchymal meningioma in an infant--case report. 2095306 - The use of two-dimensional doppler sonography (color doppler) in the diagnosis of hydra... 16614026 - Time dependent validity in the diagnosis of brain death using transcranial doppler sono... 3187986 - Massive systemic venous thrombosis after fontan operation: report of a case. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Archives of disease in childhood Volume: 67 ISSN: 1468-2044 ISO Abbreviation: Arch. Dis. Child. Publication Date: 1992 Jul |
Date Detail:
|
Created Date: 1992-10-07 Completed Date: 1992-10-07 Revised Date: 2010-09-07 |
Medline Journal Info:
|
Nlm Unique ID: 0372434 Medline TA: Arch Dis Child Country: ENGLAND |
Other Details:
|
Languages: eng Pagination: 840-5 Citation Subset: AIM; IM |
Affiliation:
|
Department of Paediatrics, Gent University Hospital, Belgium. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Birth Injuries
/
complications*,
diagnosis Brain / radiography Cerebral Hemorrhage / diagnosis, etiology* Cerebral Infarction / diagnosis, etiology Cerebrovascular Disorders / diagnosis, etiology* Echoencephalography Female Hematoma, Subdural / diagnosis, etiology Humans Infant, Newborn Male Skull Fractures / complications, diagnosis Tomography, X-Ray Computed |
| Comments/Corrections | |
Comment In:
|
Arch Dis Child. 1993 Mar;68(3 Spec No):339-40
[PMID:
8466277
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Cerebrovascular carbon dioxide reactivity and failure of autoregulation in preterm infants.
Next Document: Athetoid cerebral palsy with cysts in the putamen after hypoxic-ischaemic encephalopathy.