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Related Experiment Videos

Subdural hematoma in term infants.

Sangkae Chamnanvanakij1, Nancy Rollins, Jeffrey M Perlman

  • 1Department of Pediatrics, UT Southwestern Medical Center, Dallas, Texas 75235-9063, USA.

Pediatric Neurology
|May 7, 2002
PubMed
Summary
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Small subdural hematomas in term infants are uncommon. These hematomas, often subtle, may not always indicate birth trauma but can occur after uncomplicated deliveries.

Area of Science:

  • Neonatal Neurology
  • Pediatric Radiology
  • Neurotrauma

Background:

  • Subdural hematomas (SDHs) are rare in term infants.
  • Previous research often links SDHs to significant birth trauma.

Purpose of the Study:

  • To investigate risk factors and clinical significance of small subdural hematomas in term infants.
  • To determine if CT-diagnosed SDHs in this population always indicate birth trauma.

Main Methods:

  • Retrospective review of 26 term/near-term infants with small SDHs on CT over 3 years.
  • Analysis of clinical presentation, delivery details, and outcomes.

Main Results:

  • Most infants had subtle neurological or respiratory symptoms prompting CT.

Related Experiment Videos

  • Vaginal delivery and forceps use were common; no infant required surgical evacuation.
  • Nine infants had abnormal exams at discharge (hypotonia, Erb's palsy).

    • Conclusions:

    • Small subdural hematomas in term infants are often subtle clinical issues.
    • CT-identified SDHs may not exclusively result from birth trauma and can occur post-delivery.