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Iatrogenic encephalocele: a rare complication of vacuum extraction delivery

Hanne-Rinck Jeltema1, Eelco W Hoving

  • 1Department of Neurosurgery, University Medical Centre Groningen, Hanzeplein 1, 9713 GZ Groningen, the Netherlands. j.r.jeltema@nchir.umcg.nl

Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
|October 12, 2011
PubMed

Vacuum extraction is a frequently used form of assisted vaginal delivery. Here we describe a child who was born by vacuum extraction delivery. Days after the birth, a frontal swelling, which was thought to be a caput succedaneum, enlarged. Imaging revealed an iatrogenic encephalocele with a large subcutaneous CSF collection. Surgical reconstruction was performed. A parasagittal dura defect was closed. There was no involvement of the superior sagittal sinus. To our knowledge, encephalocele is an infrequent complication of vacuum extraction delivery, rarely described in literature. The child had a good recovery after the operation, without neurologic deficits.

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