[Neonatal subgaleal haemorrhage; a potential life-threatening extracranial haemorrhage] Export

@article{citeulike:2607623, abstract = {A female neonate delivered at term developed hypovolemic shock due to a subgaleal haemorrhage, i.e. extracranial bleeding between the galea aponeurotica and the cranial periosteum. The subgaleal haemorrhage was most likely the result of a traumatic vacuum extraction. The patient was treated with large volumes of fluids and blood products and received additional circulatory and respiratory support. The clinical features of neonatal subgaleal haemorrhage are different from other, more common causes of head swelling in neonates. Subgaleal haemorrhage is characterised by a progressive, diffuse, mobile, elastic swelling that is not confined by the sutures. In contrast, cephalic haematoma is a fixed, elastic swelling that is confined by the sutures. Caput succedaneum is a soft, poorly defined swelling that is immediately visible post partum. Traumatic vacuum extraction clearly increases the risk of developing subgaleal haemorrhage. Given the high mortality associated with subgaleal haemorrhage, we emphasise the importance of early diagnosis and adequate treatment of this disorder. Subgaleal haemorrhage carries an increased risk of having other concurrent disorders, such as intracranial haemorrhage. Therefore, further cerebral imaging should be considered in patients with subgaleal haemorrhage.}, address = {Universitair Medisch Centrum St Radboud, afd. Neonatologie, Nijmegen. j.fuijkschot@cukz.umcn.nl}, author = {Fuijkschot, J. and Antonius, T. and Meijers, P. W. and Vrancken, S.}, citeulike-article-id = {2607623}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/18265800}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=18265800}, day = {12}, issn = {0028-2162}, journal = {Ned Tijdschr Geneeskd}, keywords = {caput\_succedanum, cefaal\_hematoom, hersenobductie, perinataal, subgaleaal}, month = {January}, number = {2}, pages = {96--100}, posted-at = {2008-03-28 14:58:47}, priority = {2}, title = {[Neonatal subgaleal haemorrhage; a potential life-threatening extracranial haemorrhage]}, url = {http://view.ncbi.nlm.nih.gov/pubmed/18265800}, volume = {152}, year = {2008} }

TY - JOUR ID - citeulike:2607623 L3 - citeulike-article-id:2607623 N2 - A female neonate delivered at term developed hypovolemic shock due to a subgaleal haemorrhage, i.e. extracranial bleeding between the galea aponeurotica and the cranial periosteum. The subgaleal haemorrhage was most likely the result of a traumatic vacuum extraction. The patient was treated with large volumes of fluids and blood products and received additional circulatory and respiratory support. The clinical features of neonatal subgaleal haemorrhage are different from other, more common causes of head swelling in neonates. Subgaleal haemorrhage is characterised by a progressive, diffuse, mobile, elastic swelling that is not confined by the sutures. In contrast, cephalic haematoma is a fixed, elastic swelling that is confined by the sutures. Caput succedaneum is a soft, poorly defined swelling that is immediately visible post partum. Traumatic vacuum extraction clearly increases the risk of developing subgaleal haemorrhage. Given the high mortality associated with subgaleal haemorrhage, we emphasise the importance of early diagnosis and adequate treatment of this disorder. Subgaleal haemorrhage carries an increased risk of having other concurrent disorders, such as intracranial haemorrhage. Therefore, further cerebral imaging should be considered in patients with subgaleal haemorrhage. IS - 2 JF - Ned Tijdschr Geneeskd SN - 0028-2162 AD - Universitair Medisch Centrum St Radboud, afd. Neonatologie, Nijmegen. j.fuijkschot@cukz.umcn.nl EP - 100 TI - [Neonatal subgaleal haemorrhage; a potential life-threatening extracranial haemorrhage] VL - 152 SP - 96 KW - caput_succedanum KW - cefaal_hematoom KW - hersenobductie KW - perinataal KW - subgaleaal AU - Fuijkschot, J AU - Antonius, T AU - Meijers, PW AU - Vrancken, S PY - 2008/01/12/ UR - http://view.ncbi.nlm.nih.gov/pubmed/18265800 ER -