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J Neurol Surg A Cent Eur Neurosurg 2015; 76(06): 495-498
DOI: 10.1055/s-0035-1551822
Technical Note
Georg Thieme Verlag KG Stuttgart · New York

Endoscopic Removal of Neonatal Acute Epidural Hematoma via Strip-Bending Osteoplastic Craniotomy. Technical Note

Hirokazu Nakatogawa
1   Department of Neurosurgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan
,
Tokutaro Tanaka
1   Department of Neurosurgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan
,
Chikanori Inenaga
1   Department of Neurosurgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan
,
Ayataka Fujimoto
1   Department of Neurosurgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan
,
Takamichi Yamamoto
1   Department of Neurosurgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan
› Author Affiliations
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Publication History

08 December 2014

19 January 2015

Publication Date:
19 June 2015 (online)

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Abstract

We present a rare case of an acute epidural hematoma extending through a skull fracture into a cephalohematoma in a neonate. The epidural hematoma was caused by a fall after delivery. The neonate remained neurologically asymptomatic. A computed tomography scan 12 days after delivery showed the large-volume epidural hematoma with midline shift. We performed a strip-bending osteoplastic craniotomy and removed the epidural hematoma and external cephalohematoma under neuroendoscopic control. This is the first reported case of an acute epidural hematoma in a neonate treated successfully neuroendoscopically via a strip-bending craniotomy.

Keywords

acute epidural hematoma - neonate - neuroendoscope - delivery trauma - strip-bending osteoplastic craniotomy
 

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