Neonatal Acute Epidural Hematoma: A Case Report and Literature Review

Abstract

We present a rare case of an acute epidural hematoma (EDH) in a neonate. The EDH was caused by a fall during natural vaginal delivery. The clinical findings were normal after fall and the first ultrasonographic study did not show any hematomas. A computed tomography scan on the second day after delivery showed an EDH with 20 mm thickness extending through a skull fracture into subgaleal space. We performed a craniotomy and removed the EDH and subgaleal hematoma. After the surgery we performed follow-up twice ultrasonographic study for seeking probable hematoma recurrence. The patient was discharged after postoperative 3 days without any neurological deficits.

A case of chronic ossified hematoma presented as a skull lesion: A literature review on two rare conditions, cephalhematoma, and intradiploic hematoma

“…Birth‐related traumas could cause various cranial hematomas in neonates. 5 Cephalhematoma is among the most common hematomas, but OCH is a rare condition. According to previous reports, approximately 20 percent of cephalhematomas undergo calcification, but most resolve after conservative follow‐up.…”

“…Birth‐related traumas could cause various cranial hematomas in neonates 5 . Cephalhematoma is among the most common hematomas, but OCH is a rare condition.…”