SynthesisChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019
Subdural haematoma in neonates following forceps-assisted delivery: case series and review of the literature.
Synthesis in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 10 citations in OpenAlex.
- Case Report: Endoscopic evacuation of a large cerebellar hemorrhage in a term newborn-a modified approach using an agitation wire enhanced suction device.Frontiers in surgery · 2025Article
- Association between obstetric mode of delivery and emotional and behavioural problems in children and adolescents: the children of the 90s health study.Social psychiatry and psychiatric epidemiology · 2023Article
- Neuroradiological findings in children with subdural hematoma and suspected abusive head trauma.Annals of the Child Neurology Society · 2023Article
- Newborn with severe supratentorial subdural hematoma due to laceration of the tentorium cerebelli.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Article
- Is external hydrocephalus a possible differential diagnosis when child abuse is suspected?Acta neurochirurgica · 2022Article
- Examining perinatal subdural haematoma as an aetiology of extra-axial hygroma and chronic subdural haematoma.Acta paediatrica (Oslo, Norway : 1992) · 2020Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSubdural haematoma (SDH) is a recognised complication of forceps-assisted delivery (FAD). There are no guidelines regarding its management. This study aims to provide a better insight into the management and outcomes of neonatal SDH post-FAD.
methodsRetrospective review of our neonatal database and systematic review of the literature for neonatal cases that presented with SDH after FAD. Retrospective neurosurgical database search for cases of neonatal SDH post-FAD managed in our unit between January 2007 and January 2017. Systematic review of the literature was performed using PRISMA guidelines. The inclusion criteria are as follows: (1) neonates; (2) forceps-assisted delivery; (3) evidence of SDH on imaging, with or without other traumatic lesions.
resultsA literature search yielded nine studies with 30 patients meeting our inclusion criteria. In addition, four cases were identified from our institutional database. Forty-two percent (n = 14) had their SDH managed surgically, with subsequent full neurological recovery in 57%. In comparison, 95% (n = 18) of the conservatively managed patients made a full recovery. Hydrocephalus was present in 1/19 and 11/14 of the conservatively managed and surgically managed patients respectively.
conclusionsConservative management can lead to a full neurological recovery in SDH following FAD in neonates. However, a significant minority may still need neurosurgical intervention for the SDH or subsequent hydrocephalus; therefore, we advocate early transfer to a specialist neuroscience centre.
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