Infantile subdural hygroma following vacuum delivery

Case contributed by Dr Joseph Scheller

Presentation

Infant with irritability, head circumference 99.9%

Patient Data

Age: 2 months
Gender: Male

Large bilateral symmetric subdural hygroma with density thicker than that of CSF. No evidence of brain compression. 

Case Discussion

History-uncomplicated vacuum delivery, head circumference 65%. Gradually increasing head circumferences noted at pediatric visits in the first several weeks. Irritability age 2 months

Exam-Head circumference 99.9%

CT/MRI-no scalp or skull abnormalities, no hemorrhage, normal diffusion study

Subdural drainage by the neurosurgeon drained 40mL of watery fluid

The history of vacuum delivery followed by gradually increasing head circumference suggests that this finding is a complication of the delivery.

PlayAdd to Share

Case information

rID: 55173
Published: 26th Aug 2017
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.