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Rostral transfontanel herniation
1Department of Pediatrics, University of Texas Health Science Center, San Antonio 78284.
Journal of Child Neurology
|October 1, 1992
Insights
Rostral herniation, a rare brain condition, occurred in a premature infant due to cerebellar infarction and hemorrhage. This case highlights unusual brain herniation in neonates.
Area of Science:
- Neuroscience
- Pediatric Neurology
- Neonatal Medicine
Background:
- Upward transtentorial herniation is a known complication of posterior fossa mass effect in adults.
- Cerebellar infarction and intracerebral hemorrhage are serious conditions in neonates.
Observation:
- A premature infant, small for gestational age, presented with an unusual neurological event.
- The infant experienced rostral herniation of the frontal lobe through the anterior fontanel.
Findings:
- The herniation was caused by a combination of hemorrhagic cerebellar infarction and a large parieto-occipital intracerebral hemorrhage.
- This represents a rare instance of rostral brain herniation in a neonatal case.
Implications:
- This case expands the understanding of brain herniation patterns in neonates.
- It underscores the critical need for prompt diagnosis and management of hemorrhagic brain injuries in premature infants.
Abstract:
Upward transtentorial herniation as a result of mass effect in the posterior fossa has been described in adults by several authors. We report the case of a premature infant, small for gestational age, who experienced rostral herniation of a portion of frontal lobe through the anterior fontanel as the result of a hemorrhagic cerebellar infarction followed by a large parieto-occipital intracerebral hemorrhage.