J Korean Neurosurg Soc.  2008 Aug;44(2):98-100. 10.3340/jkns.2008.44.2.98.

Rapidly Calcified Epidural Hematoma in a Neonate

• Yu DK
• Heo DH
• Cho SM
• Cho YJ

• KMID: 2067336
• DOI: http://doi.org/10.3340/jkns.2008.44.2.98

Abstract

We report a very rare case of a rapidly calcified chronic epidural hematoma (EDH) in a neonate. A 26-day-old female infant was referred to us from a regional hospital because of drowsy mentality and a seizure attack. She was delivered through caesarian section because normal spontaneous vaginal delivery was prolonged and failed. At birth, mild scalp swelling was found on the right frontal area. Scalp swelling was spontaneously resolved and she was discharged without any problems. On the 25th day after her birth, the baby presented with drowsiness and hypotonia following a generalized tonic-clonic seizure. Magnetic resonance imaging (MRI) and a computed tomography (CT) scan revealed a chronic EDH that had a thick layer of calcification. A small burr-hole trephination was performed and a single silastic drainage catheter was inserted. After the operation, a total of 12 ml of liquefied hematoma was drained, and the patient's mentality improved from drowsiness to alertness. The patient was asymptomatic when discharged.

Keyword

Ossification; Neonate; Epidural hematoma

MeSH Terms

Catheters
Dimethylpolysiloxanes
Drainage
Female
Hematoma
Humans
Infant
Infant, Newborn
Magnetic Resonance Imaging
Muscle Hypotonia
Parturition
Scalp
Seizures
Sleep Stages
Dimethylpolysiloxanes