Posterior fossa subdural hematoma in a neonate with cleidocranial dysostosis after a spontaneous vaginal delivery: a case report

Nagasaka, Shohei; Suzuki, Kohei; Saito, Takeshi; Tanaka, Kentaro; Yamamoto, Junkoh

doi:10.1007/s00381-020-04689-1

Cited by 4 publications

(7 citation statements)

References 10 publications

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“…It is important to be aware of potential genetic factors and syndromes contributing to an increased risk of PFHs in neonates, such as CCD, 6 hemophilia A, 7 COL4A1 mutation, 8 RASopathies such as NS, 9 and HHT. 10 11…”

Section: Discussionmentioning

confidence: 99%

“…43 The reported incidence of symptomatic intracranial hemorrhage (ICH) ranges from 3 to 4 in 10,000 to 10 to 25 in 10,000 newborns. 6 However, with the aid of investigations and imaging, the clinical picture of the patient can be of great value.…”

Section: Clinical Presentation Of Preterm and Term Neonates With Post...mentioning

confidence: 99%

“…When CCD is diagnosed prenatally, a cesarean section can be considered to avoid any traumatic head injuries during delivery. 6 In addition, there have been two reported cases of term neonates of hemophilia A which is an X-linked recessive disorder connected to PFH. 7,69 Early diagnosis can be challenging since mothers can be asymptomatic and unaware of their carrier status, thus one-third of hemophilic patients lack a family history.…”

Section: Comprehensive Clinical and Neuroimaging Review Of Posterior ...mentioning

confidence: 99%

“…1 Risk factors for PFH include emergent cesarean section, 2 cardiovascular conditions, most common being patent ductus arteriosus, 2 sepsis, 3 and acidosis (lower 5-day minimum pH), 2 devices-assisted deliveries such as vacuum 4 and forceps 5 in emergency situations, multiple gestations, 3 lack of antenatal steroids, 3 fetal heart rate abnormalities, 3 use of volume expanders and cardiotrophin, 3 and extracorporeal membrane oxygenation (ECMO) use. 6 Genetic causes include cleidocranial dysostosis (CCD), 6 hemophilia A, 7 COL4A1 mutation, 8 RASopathy such as Noonan syndrome (NS), 9 and hereditary hemorrhagic telangiectasia (HHT). 10 11 Cranial ultrasound, encephalogram, head magnetic resonance imaging (MRI), and head computed tomography (CT) are important tools in diagnosing PFH, with head MRI being the gold standard.…”

Section: Introductionmentioning

confidence: 99%

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Comprehensive Clinical and Neuroimaging Review of Posterior Fossa Hemorrhage in Preterm and Term Newborns

Hsu,

Zhu,

Islam

et al. 2023

Journal of Pediatric Neurology

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Posterior fossa hemorrhage (PFH) is a highly morbid condition in preterm and term infants. In this article, we aim to first describe a case of PFH, and using this example, provide a comprehensive narrative review of the pathophysiology, risk factors, diagnosis, and management of PFH. Management may differ depending on the etiology and based on careful consideration of the risks and benefits of surgical versus conservative management.

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Section: Discussionmentioning

confidence: 99%

Section: Clinical Presentation Of Preterm and Term Neonates With Post...mentioning

confidence: 99%

Section: Comprehensive Clinical and Neuroimaging Review Of Posterior ...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comprehensive Clinical and Neuroimaging Review of Posterior Fossa Hemorrhage in Preterm and Term Newborns

Hsu,

Zhu,

Islam

et al. 2023

Journal of Pediatric Neurology

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show abstract

“…CT of the skull and chest radiograph showed the characteristics of CCD and revealed a subdural hematoma of the posterior fossa (PFSDH). PFSDH was thought to be the result of forces produced during vaginal delivery on a more fragile skull, resulting in respiratory compromise (Nagasaka et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Cleidocranial Dysplasia Causing Respiratory Distress in Neonates: A Case Report and Literature Review

et al. 2021

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Cleidocranial dysplasia (CCD; OMIM 119600) is a rare autosomal dominant skeletal dysplasia, which is mainly characterized by persistently open or delayed closure of fontanelle, patent skull sutures, abnormal clavicles, pectus excavatum, short stature, supernumerary teeth, and sinus and middle ear infections. It is caused by Runt-related transcription factor 2 (RUNX2; OMIM 600211) mutations. Herein, we present a rare case of CCD with neonatal respiratory distress, who had abnormal midfacial features and wide fontanelle. Also, pectus excavatum was noted. He was transferred to our department, administered standard medical treatment, and discharged after 4 weeks. Therefore, we recommend the early suspicion and identification of this rare inherited disease to adequate treatment.

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Cleidocranial dysplasia, a rare skeletal disorder with failure of the cranial closure: case-based update

et al. 2020

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Posterior fossa subdural hematoma in a neonate with cleidocranial dysostosis after a spontaneous vaginal delivery: a case report

Cited by 4 publications

References 10 publications

Comprehensive Clinical and Neuroimaging Review of Posterior Fossa Hemorrhage in Preterm and Term Newborns

Comprehensive Clinical and Neuroimaging Review of Posterior Fossa Hemorrhage in Preterm and Term Newborns

Cleidocranial Dysplasia Causing Respiratory Distress in Neonates: A Case Report and Literature Review

Cleidocranial dysplasia, a rare skeletal disorder with failure of the cranial closure: case-based update

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