Journal List > Korean J Perinatol > v.27(2) > 1013789

Korean J Perinatol. 2016 Jun;27(2):103-109. Korean.
Published online June 30, 2016.  https://doi.org/10.14734/kjp.2016.27.2.103
Copyright © 2016 The Korean Society of Perinatology
Clinical Significance of Epidural Hematoma Related to Birth in Newborn
Dong Jun Lee, M.D., Yeon Kyung Lee, M.D., Sun Young Ko, M.D., Son Moon Shin, M.D. and Byoung Hee Han, M.D.1
Department of Pediatrics, Cheil General Hospital & Women's Health Care Center, Dankook University College of Medicine, Seoul, Korea.
1Department of Diagnostic Radiology, Cheil General Hospital & Women's Health Care Center, Dankook University College of Medicine, Seoul, Korea.

Correspondence to: Yeon Kyung Lee, M.D. Department of Pediatrics, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, 17, Seoae ro 1 Gil, Jung-gu, Seoul 04619, Korea. Tel: +82-2-2000-7771, Fax: +82-2-2000-7778, Email: ykleeped@hanmail.net
Received February 06, 2016; Revised April 09, 2016; Accepted April 11, 2016.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.

Keywords: Epidural hematoma; Newborn

Figures


Fig. 1
CT scans of case 10. Before (A) and after (B) surgical treatment. The EDH(arrow), shown as a lentiform high-density area on the left temporal region with mass effect(arrowhead), disappeared after surgery.
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Fig. 2
CT scans of case 12. (A) Right parietal EDH (white arrow) without mass effect was shown on day 3. (B) After 2 days, follow-up image was obtained and it showed spontaneously decreased amount of EDH (black arrow) on the same region.
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Tables


Table 1
Summary of Clinical Characteristics and Radiologic Findings of EDH
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