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Rostral transfontanel herniation.

C T Gay1, K S Kagan-Hallet

  • 1Department of Pediatrics, University of Texas Health Science Center, San Antonio 78284.

Journal of Child Neurology
|October 1, 1992
PubMed
Summary
This summary is machine-generated.

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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:

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  • 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.