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Acute-on-Chronic Subdural Hemorrhage Due to Late Vitamin K Deficiency

Niraj K Choudhary1, Jeevesh Mallik1, Kumar Diwakar2

  • 1Department of Neurosurgery, Tata Main Hospital, Jamshedpur, IND.

Cureus
|March 2, 2023
PubMed

Insights

Late-onset Vitamin K deficiency bleeding (VKDB) can occur up to six months in exclusively breastfed infants. Early diagnosis and surgical intervention are crucial for favorable outcomes in cases like subdural hemorrhage.

Area of Science:

  • Pediatrics
  • Hematology
  • Neurology

Background:

  • Vitamin K deficiency bleeding (VKDB), also known as hemorrhagic disease of the newborn (HDN), presents a significant health risk, particularly in developing nations.
  • VKDB can manifest late, from one week to six months post-birth, posing a serious threat of mortality and morbidity.

Observation:

  • A three-month-old, exclusively breastfed infant presented with recurrent vomiting.
  • The infant was diagnosed with acute-on-chronic subdural hemorrhage.

Findings:

  • This case highlights a late-onset presentation of VKDB manifesting as subdural hemorrhage in an exclusively breastfed infant.
  • The condition required prompt diagnosis and surgical management.

Implications:

  • Emphasizes the importance of vitamin K prophylaxis, especially in exclusively breastfed infants, even in developed countries.
  • Underscores the critical role of timely diagnosis and surgical intervention in managing severe VKDB complications for improved patient outcomes.

Keywords:
bleeding disorderbreastfedcraniotomyintracranial bleednewborn

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