Endoscopic Removal of Neonatal Acute Epidural Hematoma via Strip-Bending Osteoplastic Craniotomy. Technical Note

Abstract

We present a rare case of an acute epidural hematoma extending through a skull fracture into a cephalohematoma in a neonate. The epidural hematoma was caused by a fall after delivery. The neonate remained neurologically asymptomatic. A computed tomography scan 12 days after delivery showed the large-volume epidural hematoma with midline shift. We performed a strip-bending osteoplastic craniotomy and removed the epidural hematoma and external cephalohematoma under neuroendoscopic control. This is the first reported case of an acute epidural hematoma in a neonate treated successfully neuroendoscopically via a strip-bending craniotomy.

Neonatal Acute Epidural Hematoma: A Case Report and Literature Review

“…But because of rare occurrence, the level of evidence is low. 6) We chose craniotomy due to size of the hematoma and the risk of future calcification. 4) The presence of a depressed skull fracture is an important factor for choosing the treatment procedure.…”