Traumatic brain lesions in newborns

Rabelo, Ní­collas Nunes; Matushita, Hamilton; Cardeal, Daniel Dante

doi:10.1590/0004-282x20170016

Cited by 16 publications

(20 citation statements)

References 34 publications

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“…5 a-e). When the head is the presenting body part, the frontal and occipital bones are compressed, leading to parietal bones being displaced outward, resulting in a step-off between the coronal and lambdoid sutures and slight widening of the squamous suture [ 1 ]. With the less common breech, brow or face presentations, however, the parietal bones are pressed inward.…”

Section: Injuries To the Head And Facementioning

confidence: 99%

“…With the less common breech, brow or face presentations, however, the parietal bones are pressed inward. In either instance, if the deformation occurs rapidly or severely, the falx, tentorium or bridging veins may tear, leading to intracranial hemorrhages [ 1 ]. Similarly, the process of molding may lead to distortion of synchondroses at the skull base, with long-term consequences such as basilar impression, atlanto-occipital assimilation or nuchal impression [ 1 ].…”

Section: Injuries To the Head And Facementioning

confidence: 99%

“…The exact incidence of mechanical trauma of birth may be somewhat underestimated. Incidence is 0.82%, prevalence has been estimated at 9.5 per 1000 live births [ 1 ]. Less than 2% of neonatal deaths result from birth trauma [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Mechanical birth-related trauma to the neonate: An imaging perspective

Chaturvedi

Stanescu

et al. 2018

Insights Imaging

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Mechanical birth-related injuries to the neonate are declining in incidence with advances in prenatal diagnosis and care. These injuries, however, continue to represent an important source of morbidity and mortality in the affected patient population. In the United States, these injuries are estimated to occur among 2.6% of births. Although more usual in context of existing feto-maternal risk factors, their occurrence can be unpredictable. While often superficial and temporary, functional and cosmetic sequelae, disability or even death can result as a consequence of birth-related injuries. The Agency for Healthcare research and quality (AHRQ) in the USA has developed, through expert consensus, patient safety indicators which include seven types of birth-related injuries including subdural and intracerebral hemorrhage, epicranial subaponeurotic hemorrhage, skeletal injuries, injuries to spine and spinal cord, peripheral and cranial nerve injuries and other types of specified and non-specified birth trauma. Understandably, birth-related injuries are a source of great concern for the parents and clinician. Many of these injuries have imaging manifestations. This article seeks to familiarize the reader with the clinical spectrum, significance and multimodality imaging appearances of neonatal multi-organ birth-related trauma and its sequelae, where applicable. Teaching points • Mechanical trauma related to birth usually occurs with pre-existing feto-maternal risk factors.• Several organ systems can be affected; neurologic, musculoskeletal or visceral injuries can occur.• Injuries can be mild and transient or disabling, even life-threatening.• Imaging plays an important role in injury identification and triage of affected neonates.Electronic supplementary materialThe online version of this article (10.1007/s13244-017-0586-x) contains supplementary material, which is available to authorized users.

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Section: Injuries To the Head And Facementioning

confidence: 99%

Section: Injuries To the Head And Facementioning

confidence: 99%

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Mechanical birth-related trauma to the neonate: An imaging perspective

Chaturvedi

Stanescu

et al. 2018

Insights Imaging

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“…Moreover, depending on the choice of instrument used for VOD, the pattern of head injury also varies. After forceps extraction, abrasions, hematoma, and facial paralysis are more prevalent [10,12,23], while after vacuum extraction, cephalic hematomas are the most common pathologies [4,17,24]. Regarding the occurrence of intracerebral bleeding, there is no significant difference between forceps and vacuum extraction [25].…”

Section: Discussionmentioning

confidence: 99%

“…However, VOD is not applicable in every delivery because there is a relevant danger of injuries like cephalic hematoma and intracranial bleeding [7][8][9][10], most importantly in preterm infants with a gestational age (GA) of < 34 gestation weeks (GW) [4,11]. The incidence of overall birth injuries has declined over the last few decades and is now estimated at 0.2-2 per 1000 deliveries [12,13]. A major complication during VOD is pop-off of the cup resulting in intracranial pressure fluctuations and secondary intracranial bleeding [14].…”

Section: Introductionmentioning

confidence: 99%

Is There a Role for Cerebral Ultrasonography in Near-Term/Term Neonates Following Assisted Vaginal Delivery? A Prospective, Single-Center Study

et al. 2020

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Aim To evaluate the role of cerebral ultrasonography studies (CUSS) in detecting intracerebral and cranial pathologies (hemorrhages, ischemia, skull fractures) in near-term and term neonates following assisted vaginal delivery. Patients and Methods Prospective single-center study (11/2017–11/2018) at the University Children’s Hospital of Saarland, Homburg, Germany including newborns with a gestational age ≥ 36 weeks born by assisted vaginal delivery. In all newborns, a standardized CUSS was performed within the first three days of life prior to discharge. Results 200 neonates (43.0 % female, 57.0 % male; gestational age 39.6 ± 1.3 weeks) were included in this study (birth weight 3345.6 ± 450.6 g, body length 51.7 ± 2.5 cm, head circumference 35.0 ± 1.5 cm). 67 (33.5 %) neonates had minor external injuries of the scalp. 5 children showed clinical neurologic abnormalities: 4 (2.0 %) seizures and 1 facial palsy (0.5 %). In 34 (17.0 %) patients, minor incidental intracranial abnormalities unrelated to mode of delivery were detected on CUSS. No intracerebral, cranial pathologies or skull fractures were seen on routine CUSS. Conclusion Routine CUSS in newborns after assisted vaginal delivery did not yield clinically relevant results in our cohort. Clinical observation and selective CUSS in symptomatic newborns might be more efficient than routine CUSS.

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Fetal and Neonatal Trauma in Dystocic Labor and Delivery

Vlasyuk

2021

Intrapartum Ultrasonography for Labor Management

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Traumatic brain lesions in newborns

Abstract: Birth-related traumatic brain injury may cause serious complications in newborn infants. Its successful management includes special training, teamwork, and an individual approach.

Cited by 16 publications

References 34 publications

Mechanical birth-related trauma to the neonate: An imaging perspective

Mechanical birth-related trauma to the neonate: An imaging perspective

Is There a Role for Cerebral Ultrasonography in Near-Term/Term Neonates Following Assisted Vaginal Delivery? A Prospective, Single-Center Study

Fetal and Neonatal Trauma in Dystocic Labor and Delivery

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