Birth-related intracranial hemorrhage.

Pediatr Radiol

Section of Pediatric Radiology, C. S. Mott Children's Hospital, Room 3-229, Department of Radiology, Michigan Medicine, 1540 E. Hospital Drive, 48109-4252, Ann Arbor, MI, USA.

Published: September 2024

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http://dx.doi.org/10.1007/s00247-024-06030-3DOI Listing

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Birth-related intracranial hemorrhage.

Pediatr Radiol

September 2024

Section of Pediatric Radiology, C. S. Mott Children's Hospital, Room 3-229, Department of Radiology, Michigan Medicine, 1540 E. Hospital Drive, 48109-4252, Ann Arbor, MI, USA.

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Article Synopsis
  • The study investigates the occurrence of intracranial birth-related subdural hemorrhage in healthy newborns and its differentiation from other types of hemorrhage, acknowledging its importance in medical and legal contexts.
  • Researchers conducted a review of 200 infants, using MRI to assess the incidence and characteristics of subdural hemorrhages, particularly focusing on the association with delivery methods and how these hemorrhages change over time.
  • Results indicated that 33% of the infants had detectable intracranial hemorrhages, primarily subdural, with a significant portion located in the posterior fossa, and no severe associated injuries were noted.
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Objective: To determine the incidence of fundus hemorrhage (FH) not associated with retinopathy of prematurity (ROP) during ocular screening and report their clinical features, risk factors, therapies, and prognosis in a large population of premature newborns.

Methods: The medical records of all preterm newborns admitted to the Department of Ophthalmology, Peking University People's Hospital, Beijing, from January 1, 2016 through August 31, 2021 were retrospectively reviewed. Fundus examinations were carried out by experienced retinal experts.

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Background: Birth trauma accounts for 1-2% of the mortality in newborns with significant intracranial injuries presenting in the immediate postnatal period. However, a significant number of asymptomatic neonates harbor birth-related intracranial hemorrhage (ICH), with birth-related subdural hemorrhage (SDH) being a common occurrence on infant brain CT and MRI studies performed as a standard of care for a variety of reasons. Although clinically insignificant, birth-related SDH is frequently brought up in courts as an alternative explanation for SDH in suspected abusive head trauma.

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Objective: The management of children with ping-pong skull fractures may include observation, nonsurgical treatments, or surgical intervention depending on the age, clinical presentation, imaging findings, and cosmetic appearance of the patient. There have been 16 publications on nonsurgical treatment using negative pressure with various devices. Herein, the authors report their experience with vacuum-assisted elevation of ping-pong skull fractures and evaluate the variables affecting procedural outcomes.

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