Abstract
The authors report a case of minimal prenatal trauma producing a large subdural hematoma in the fetus, which was diagnosed in utero by MR imaging. The occurrence of such a complication is extremely rare in the absence of significant maternal trauma. Prenatally diagnosed intracranial hemorrhages, particularly those that are subdural in origin, have a poor prognosis in most cases. After birth, brain compression required a complex neurosurgical intervention because simple hematoma evacuation was not possible. The clinical and neurological outcome at 6 months was excellent, as confirmed by the neuroimaging findings.
MeSH terms
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Abdominal Injuries / complications*
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Abdominal Injuries / physiopathology
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Adult
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Brain Injuries / embryology*
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Brain Injuries / etiology*
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Craniotomy
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Female
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Hematoma, Subdural / diagnosis
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Hematoma, Subdural / embryology*
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Hematoma, Subdural / etiology*
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Hematoma, Subdural / surgery
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Humans
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Imaging, Three-Dimensional
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Infant, Newborn
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Intracranial Hemorrhages / diagnosis
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Intracranial Hemorrhages / embryology
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Intracranial Hemorrhages / etiology
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Intracranial Hemorrhages / surgery
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Magnetic Resonance Angiography
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Magnetic Resonance Imaging
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Male
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Movement Disorders / etiology
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Neurosurgical Procedures
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Postoperative Complications
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Pregnancy*
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Prenatal Diagnosis
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Seizures / etiology
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Severity of Illness Index
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Wounds, Nonpenetrating / complications*