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Fetal extradural hematoma: prenatal diagnosis and postmortem examination
O Bonnefoy1, B Maugey-Laulom, B Diris
1Service de Radiologie A, Hôpital Pellegrin, CHR Bordeaux, Bordeaux, France. olivier.bonnefoy@chu-bordeaux.fr
Fetal Diagnosis and Therapy
|June 28, 2005
Summary
This case study details the first in-utero diagnosis of an extradural hematoma using advanced imaging. Pertussis in the mother was associated with fetal brain abnormalities, leading to termination.
Area of Science:
- Perinatology
- Neurology
- Obstetrics
Background:
- Extradural hematomas are rare in fetuses.
- Maternal pertussis infection can have severe fetal consequences.
- Prenatal diagnosis of fetal brain abnormalities is crucial for management.
Purpose of the Study:
- To report the first in-utero diagnosis of an extradural hematoma.
- To investigate the association between maternal pertussis and fetal neurological complications.
- To highlight the role of advanced imaging in prenatal diagnosis.
Main Methods:
- Case report of a singleton pregnancy.
- Diagnosis confirmed via ultrasonography and magnetic resonance imaging at 31 weeks' gestation.
- Postmortem examination of the fetus.
Main Results:
- First confirmed prenatal diagnosis of an extradural hematoma.
- Maternal acute pertussis identified as a potential contributing factor.
- Fetal hydrocephaly, brain parenchymal deviation, and other abnormalities noted.
- Postmortem findings confirmed extradural hematoma in the posterior fossa.
Conclusions:
- Advanced imaging can diagnose fetal extradural hematoma prenatally.
- Maternal pertussis may be linked to severe fetal neurological abnormalities.
- Such findings suggest a poor fetal outcome, necessitating careful management decisions.