Newborn with severe supratentorial subdural hematoma due to laceration of the tentorium cerebelli

Haruka Iwamura; Masahiro Nonaka; Yumiko Komori; Mayuko Miyata; Takamasa Kamei; Akio Asai

doi:10.1007/s00381-022-05588-3

Newborn with severe supratentorial subdural hematoma due to laceration of the tentorium cerebelli

Childs Nerv Syst. 2023 Jan;39(1):261-264. doi: 10.1007/s00381-022-05588-3. Epub 2022 Jun 21.

Authors

Haruka Iwamura¹, Masahiro Nonaka², Yumiko Komori¹, Mayuko Miyata¹, Takamasa Kamei¹, Akio Asai¹

Affiliations

¹ Department of Neurosurgery, Kansai Medical University, 2-5-1 Shinmachi, Hirakata City, Osaka, 573-1010, Japan.
² Department of Neurosurgery, Kansai Medical University, 2-5-1 Shinmachi, Hirakata City, Osaka, 573-1010, Japan. nonakamasa65@gmail.com.

PMID: 35729345
DOI: 10.1007/s00381-022-05588-3

Abstract

Purpose: A rare case of a newborn girl born by a normal vaginal delivery who developed a severe supratentorial subdural hematoma due to a laceration in the tentorium cerebelli is presented.

Methods and results: The girl, born by normal vaginal delivery at 39 weeks and 4 days of gestation, showed an intermittent decrease in oxygen saturation and bulging of the anterior fontanelle. Computed tomography (CT) and magnetic resonance imaging (MRI) showed a subdural hematoma centered in the left occipital region with a midline shift. Hematoma evacuation with craniotomy was performed, and the source of bleeding was a laceration of the tentorium cerebelli.

Conclusion: Severe supratentorial subdural hematomas can occur due to laceration of the tentorium cerebelli even in a normal vaginal delivery.

Keywords: Newborn; Subdural hematoma; Tentorium cerebelli.

Publication types

Case Reports

MeSH terms

Dura Mater
Female
Hematoma, Subdural
Humans
Infant, Newborn
Lacerations*
Magnetic Resonance Imaging
Tomography, X-Ray Computed