ACUTE SUBDURAL HEMATOMA IN A NEONATE–CASE REPORT THE SUGGESTED TREATMENT APPROACH

Introduction: Traumatic brain injury following birth is common in newborn but significant intracranial hematoma following birth injury is not that usual. Even busy pediatric trauma center have about only 1 to 3% of admission that require neurosurgical care. A clinical case of subdural hematoma (SDH) in a 3 days old neonate is presented.

Observation: Newborn aged 3 days born by vacuum admitted for hypotonia. The coagulation profile is normal and there was no similar cases in the family. The exam noted ptosis of the right eye. Brain scans showed a subdural hematoma extended from the right hemisphere. There was no similar cases in the family. Medical treatment was proposed based oxygen, anticonvulsant therapy, vitamin K1 and transfusions. The outcome was favorable.

Discussion and Conclusion: In case of neonatal ocular ptosis, research intracranial hemorrhage is urgent. A strictly medical treatment could be a successful alternative.