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Intracranial hemorrhage in infants with cephalohematoma
Author(s) -
Kim Heng Mi,
Kwon Soon Hak,
Park Sook Hyun,
Kim Yong Sun,
Oh Ki Won
Publication year - 2014
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12255
Subject(s) - medicine , neuroimaging , skull , neonatal intensive care unit , magnetic resonance imaging , skull fracture , pediatrics , surgery , radiology , psychiatry
Background Intracranial hemorrhage ( ICH ) is a rare birth injury in term infants. Newborn infants with cephalohematoma ( CH ) associated with ICH , however, have frequently been found incidentally at K yungpook N ational U niversity H ospital; many of them had no neurological symptoms. The aim of this study was to evaluate the clinical manifestations of ICH in newborn infants with CH . Methods Newborn infants with CH in the neonatal intensive care unit were retrospectively evaluated. During period I (5 years), neuroimaging (brain computed tomography and magnetic resonance imaging) was performed when intracranial abnormalities were suspected. During period II (36 months) neuroimaging was performed when CH > 5 cm in diameter was present. Results During period I , seven out of 19 infants who underwent neuroimaging had ICH (36.8%) including two epidural hemorrhages ( EDH ). During period II , 18 out of 27 infants who underwent neuroimaging had ICH (66.7%), including two EDH . There was no significant difference in the clinical manifestations between infants with and without ICH . In 10 cases of CH accompanied with a linear skull fracture, nine had ICH , including all cases of ICH that needed intervention. Conclusions The association of ICH appears to be common in newborn infants with CH ; particularly in infants with CH accompanied with a skull fracture, the rate of ICH was very high, and all cases of EDH requiring intervention were associated with skull fracture. Therefore, evaluation of accompanying skull fracture should be required in infants with CH , and, in cases of skull fracture, neuroimaging should be considered.