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[Favorable outcome of a subdural hematoma diagnosed in utero]
M Lafont1, M Lamarque, E Daussac
1Hôpital d'Enfants, Saint-Denis de la Réunion, France.
Unlabelled:
The subdural hematoma detected in utero is unusual but probably under-diagnosed and has a bad prognostic.
Case Report:
A newborn had a subdural hematoma detected with a prenatal ultrasonography at 31 weeks' gestation, probably in keeping with the regular treatment of AAS. Diagnosis was possible through antenatal MRI at 34 weeks' gestation. The mother chose to follow her pregnancy. The operation at day 3 had no complications and neurological progress at 12 months was very good.
Conclusion:
A subdural hematoma detected in utero may have a good prognostic. Prenatal MRI is useful for the check-up. However, medical and ethical problems remain in these cases.