Open Access, Peer-reviewed
pISSN 2508-4887
eISSN 2508-4895
    Korean J Perinatol. 2016 Jun;27(2):103-109. Korean.
    Published online Jun 30, 2016.
    https://doi.org/10.14734/kjp.2016.27.2.103
    Copyright © 2016 The Korean Society of Perinatology
    Original Article

    Clinical Significance of Epidural Hematoma Related to Birth in Newborn

    Dong Jun Lee, M.D., Yeon Kyung Lee, M.D., Sun Young Ko, M.D., Son Moon Shin, M.D. and Byoung Hee Han, M.D.1
      • Department of Pediatrics, Cheil General Hospital & Women's Health Care Center, Dankook University College of Medicine, Seoul, Korea.
      • 1Department of Diagnostic Radiology, Cheil General Hospital & Women's Health Care Center, Dankook University College of Medicine, Seoul, Korea.
    • Correspondence to: Yeon Kyung Lee, M.D. Department of Pediatrics, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, 17, Seoae ro 1 Gil, Jung-gu, Seoul 04619, Korea. Tel: +82-2-2000-7771, Fax: +82-2-2000-7778, Email: ykleeped@hanmail.net
    Received February 06, 2016; Revised April 09, 2016; Accepted April 11, 2016.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    Epidural hematoma (EDH) in newborn is very rare, but when it occurs it is usually due to birth injury. We have evaluated the incidence and clinical features of EDH related to birth in newborn.

    Methods

    We analyzed medical records of 12 newborns diagnosed with EDH at Cheil General Hospital and Women's Health Care Center from January 2000 to December 2015 retrospectively.

    Results

    The incidence of EDH related to birth was 0.01%, occurring in 1 of 10,000 live births. Of the total 12 cases, 10 occurred in male and 8 in vaginal delivery. Among them, 11 infants had evidences of birth injury. Clinical presentation was nonspecific: only 1 infant had neurologic symptoms. The temporooccipital area was the most frequent location of EDH. The median size of EDH was 3.2±0.8 cm in length and 1.2±0.7 cm in depth. Mass effect accompanied with midline shift on radiologic imaging was shown in one case. Surgical drainage was needed only in one infant with neurologic symptom and mass effect on radiologic imaging, while the others were treated conservatively.

    Conclusion

    Neonatal EDH related to birth was treated conservatively in most cases. The radiologic mass effect and neurologic symptom should be considered as indication for surgical intervention.

    Keywords
    Epidural hematoma; Newborn

    Figures

    Fig. 1
    CT scans of case 10. Before (A) and after (B) surgical treatment. The EDH(arrow), shown as a lentiform high-density area on the left temporal region with mass effect(arrowhead), disappeared after surgery.

    Fig. 2
    CT scans of case 12. (A) Right parietal EDH (white arrow) without mass effect was shown on day 3. (B) After 2 days, follow-up image was obtained and it showed spontaneously decreased amount of EDH (black arrow) on the same region.

    Tables

    Table 1
    Summary of Clinical Characteristics and Radiologic Findings of EDH

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    MeSH Terms
    Birth Injuries
    Drainage
    Hematoma*
    Hospitals, General
    Humans
    Incidence
    Infant
    Infant, Newborn*
    Live Birth
    Male
    Medical Records
    Neurologic Manifestations
    Parturition*
    Retrospective Studies
    Women's Health
    Metrics
    Share
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    Tables
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