February 1977

Acute Neonatal Subdural Hematoma Following Breech Delivery

Author Affiliations

From the Departments of Neurology (Dr Abroms), Neurosurgery (Dr McLennan), and Pediatrics (Dr Mandell), Children's Hospital Medical Center; and the Departments of Neurology, Surgery, and Pediatrics, Harvard Medical School, Boston. Dr Abroms is now with the Department of Pediatrics, University of Massachusetts, Worcester.

Am J Dis Child. 1977;131(2):192-194. doi:10.1001/archpedi.1977.02120150074015

• We describe two term infants born by complicated breech deliveries, each of whom suffered an acute subdural hematoma.

Both infants required repeated subdural taps; in one case a parietal burr hole was needed. Despite stormy neonatal courses, follow-up examination of the first infant at 26 months showed him to be normal, and in the other only a mild left esotropia was found at 22 months.

Acute neonatal subdural hematoma is rare, but symptoms and signs are distinctive and the condition is remediable; immediate recognition and treatment is important.

(Am J Dis Child 131:192-194, 1977)