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Study supports 'aggressive' treatment for posterior fossa hematoma in newborns
Date:5/20/2013

Philadelphia, Pa. (May 20, 2013) Posterior fossa subdural hematoma (PFSDH) is a serious and rare condition in newborns, generally occurring after difficult deliveries. But with appropriate treatment, there's an excellent chance of good long-term outcomes even in severe cases of PFSDH, reports a study in the May issue of Neurosurgery, official journal of the Congress of Neurological Surgeons. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

The results support an "aggressive" approach to evaluation and treatmentincluding surgery, if necessaryin even very severe cases of PFSDH in newborns, according to Dr. Thomas Blauwbomme of the Hpital Necker-Enfants Malades, Paris, and colleagues.

Good Results of Surgery in Newborns with PFSDH

Posterior fossa subdural hematoma is a potentially life-threatening condition in which a collection of blood (hematoma) occurs in an area at the base of the skull (posterior fossa). Pressure on the respiratory and cardiovascular centers in the brainstem can lead to serious disability or death. Less than 100 cases of PFSDH in newborns have ever been reported in the medical literature. "Excessive fetal head molding during the delivery process is the most commonly recognized cause," the researchers write.

To clarify the treatment and outcomes of this rare condition, Dr. Blauwbomme and colleagues analyzed 16 newborns with PFSDH seen at their children's hospital neurosurgery department since 1985. Most of the infants had difficult deliveries, such as use of forceps or breech birth.

Symptoms developed within the first day after birth in nine infants
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Contact: Connie Hughes
connie.hughes@wolterskluwer.com
646-674-6348
Wolters Kluwer Health
Source:Eurekalert

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