Neonatal infratentorial subdural hematoma contributing to obstructive hydrocephalus in the setting of therapeutic cooling: A case report  

作　　者：Lee K Rousslang Elizabeth A Rooks Jaren T Meldrum Kristopher G Hooten Jonathan R Wood 

机构地区：[1]Department of Radiology,Tripler Army Medical Center,Medical Center,HI 96859,United States [2]Department of Neuroscience,Duke University,Durham,NC 27708,United States [3]Department of Radiology,Alaska Native Medical Center,Anchorage,AK 99508,United States [4]Department of Neurosurgery,Tripler Army Medical Center,Medical Center,HI 96859,United States

出　　处：《World Journal of Radiology》2021年第9期307-313,共7页世界放射学杂志（英文版）（电子版）

摘　　要：BACKGROUND Symptomatic neonatal subdural hematomas usually result from head trauma incurred during vaginal delivery,most commonly during instrument assistance.Symptomatic subdural hematomas are rare in C-section deliveries that were not preceded by assisted delivery techniques.Although the literature is inconclusive,another possible cause of subdural hematomas is therapeutic hypothermia.CASE SUMMARY We present a case of a term neonate who underwent therapeutic whole-body cooling for hypoxic ischemic encephalopathy following an emergent C-section delivery for prolonged decelerations.Head ultrasound on day of life 3 demonstrated a rounded mass in the posterior fossa.A follow-up brain magnetic resonance imaging confirmed hypoxic ischemic encephalopathy and clarified the subdural hematomas in the posterior fossa causing mass effect and obstructive hydrocephalus.CONCLUSION The aim of this report is to highlight the rarity and importance of mass-like subdural hematomas causing obstructive hydrocephalus,particularly in the setting of hypoxic ischemic encephalopathy and therapeutic whole-body cooling.

关 键 词：Hypoxic ischemic encephalopathy Neonatal subdural hematoma Therapeutic hypothermia Case report 

分 类 号：R722.1[医药卫生—儿科]