Endoscopic evacuation of cerebellar hematoma in a term newborn

Sema Rala Tanriverdi; Tuncer Turhan; Ozgun Uygur; Ozge Altun Koroglu; Mehmet Yalaz; Nilgun Kultursay

doi:10.1016/j.braindev.2012.11.009

Endoscopic evacuation of cerebellar hematoma in a term newborn

Brain Dev. 2013 Oct;35(9):881-4. doi: 10.1016/j.braindev.2012.11.009. Epub 2012 Dec 21.

Authors

Sema Rala Tanriverdi¹, Tuncer Turhan, Ozgun Uygur, Ozge Altun Koroglu, Mehmet Yalaz, Nilgun Kultursay

Affiliation

¹ Ege University Medical Faculty, Department of Pediatrics, Division of Neonatology, Izmir, Turkey.

PMID: 23265617
DOI: 10.1016/j.braindev.2012.11.009

Abstract

Intracerebellar hemorrhage is very rare in term infants and only severe cases with massive intracranial hemorrhage, posthemorrhagic hydrocephalus and clinical deterioration due to increased intracranial pressure require neurosurgical evacuation. In recent adult studies endoscopic hematoma evacuation has been shown as a rapid, effective, and safe technique. A term newborn hospitalized for meconium aspiration syndrome showed hypertonia, jitteriness and abnormal amplitude integrated electroencephalogram findings. He was diagnosed with cerebellar hematoma which caused hydrocephalus by cranial magnetic resonance imaging (MRI). The hematoma was successfully evacuated neuroendoscopically as the first case in literature to our knowledge. Neurologic, a-EEG and MRI findings resolved.

Keywords: Cerebellar hematoma; Endoscopic evacuation; Newborn; Term.

Publication types

Case Reports

MeSH terms

Cerebellar Diseases / diagnosis*
Cerebellar Diseases / pathology
Cerebral Hemorrhage / diagnosis*
Cerebral Hemorrhage / pathology
Electroencephalography / methods
Endoscopes*
Hematoma / diagnosis*
Hematoma / pathology
Humans
Hydrocephalus / diagnosis*
Hydrocephalus / pathology
Infant, Newborn
Male