Document Detail

Traumatic neonatal intracranial bleeding and stroke.
MedLine Citation:
PMID:  1519986     Owner:  NLM     Status:  MEDLINE    
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.
P Govaert; P Vanhaesebrouck; C de Praeter
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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    
Department of Paediatrics, Gent University Hospital, Belgium.
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MeSH Terms
Birth Injuries / complications*,  diagnosis
Brain / radiography
Cerebral Hemorrhage / diagnosis,  etiology*
Cerebral Infarction / diagnosis,  etiology
Cerebrovascular Disorders / diagnosis,  etiology*
Hematoma, Subdural / diagnosis,  etiology
Infant, Newborn
Skull Fractures / complications,  diagnosis
Tomography, X-Ray Computed
Comment In:
Arch Dis Child. 1993 Mar;68(3 Spec No):339-40   [PMID:  8466277 ]

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