Presentation
Neonate slipped off from the neonatologist's hands in the delivery room after cesarean section.
Patient Data
A small right parietal epidural hematoma is noted, indenting the right parietal lobe.
A right parietal epidural hematoma is noted. Another adjacent smaller one is also noted.
Right parietal skull fracture is noted, which is continuous downwards with a depressed posterior parietal fracture. Overlying subgaleal hematoma is noted.
Right temporal and left frontal cortical contusions are noted.
No signs of brain herniation.
Case Discussion
Most neonatal head fractures are caused by falls, commonly from a caregiver's arms or by accidental struck by a person/object and usually result in skull fractures and scalp hematomas with an overall good prognosis 1,2. Most neonates were asymptomatic with a Glasgow Coma Scale 15 2. Treatment is generally conservative.
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