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Fetal epidural hematoma secondary to a mild blunt prenatal trauma: case report and review of the literature.

Jordana Rodovalho Gontijo GermanoAna Clara Tavares de MeloLígia Gonsalves RibeiroCilmária Leite FrancoPaulo Ronaldo Jubé RibeiroBárbara Albuquerque Morais
Published in: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery (2021)
Fetal intracranial hemorrhage affects 1 in every 10,000 pregnancies. In most cases, the etiology of the bleeding is multifactorial, and they can be either related to the mother or the fetus. Blunt prenatal trauma was occasionally associated with these hemorrhages, nevertheless, reports of hematomas secondary to mild traumas are rare. Within the prenatal intracranial bleedings, the most frequent are the subarachnoid hematoma and intraparenchymal, scarcely ever the epidural hematoma. Treating these bleedings is challenging due to the ongoing pregnancy. Thus, the prognosis is often reserved, with a mortality rate of 43% and 25% of neurological sequelae. Here, we report a singular case of a fetal epidural hematoma secondary to a mild blunt trauma at the third trimester with a good outcome.
Keyphrases
  • trauma patients
  • spinal cord
  • pregnant women
  • preterm birth
  • pregnancy outcomes
  • gestational age
  • atrial fibrillation
  • cardiovascular events
  • optic nerve
  • cardiovascular disease
  • emergency department
  • type diabetes