ReviewActa paediatrica (Oslo, Norway : 1992)2020
Examining perinatal subdural haematoma as an aetiology of extra-axial hygroma and chronic subdural haematoma.
Review in Acta paediatrica (Oslo, Norway : 1992), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 24 citations in OpenAlex.
- Prospective measurement of the width of cerebrospinal fluid spaces by cranial ultrasound in neurologically healthy children aged 0-19 months.BMC pediatrics · 2024Article
- Neuroradiological findings in children with subdural hematoma and suspected abusive head trauma.Annals of the Child Neurology Society · 2023Article
- Is external hydrocephalus a possible differential diagnosis when child abuse is suspected?Acta neurochirurgica · 2022Article
- [Abusive head trauma. A review of our experience].Revista de neurologia · 2022Observational
- Thrombosis is not a marker of bridging vein rupture in infants with alleged abusive head trauma.Acta paediatrica (Oslo, Norway : 1992) · 2021Review
- Examining perinatal subdural haematoma as an aetiology of extra-axial hygroma and chronic subdural haematoma.Acta paediatrica (Oslo, Norway : 1992) · 2020Review
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimBenign external hydrocephalus (BEH), hygroma and chronic subdural haematoma are extra-axial fluid collections in infants. MRI studies have shown that almost half of all new-borns have perinatal subdural blood, generally referred to as subdural haematoma (SDH) or perinatal SDH. Epidemiologically there are striking similarities between chronic SDH and BEH in infants.
methodsDiscussion of pathophysiological mechanisms for BEH and chronic SDH, based on existing literature.
resultsPerinatal SDH is common, and we hypothesise that this condition in some infants develop into extra-axial fluid collections, known as hygroma, BEH or chronic subdural haematoma. The mechanism seems to be an intradural bleeding that creates an obstructive layer preventing normal CSF absorption. The site where the bleeding originates from and those areas enveloped in blood from the primary damaged area are prone to later rebleeds, seen as 'acute on chronic' haematomas. With steady production of CSF and the blockage, increased intracranial pressure drives the accelerated skull growth seen in many of these children.
conclusionPerinatal SDH hampers CSF absorption, possibly leading to BEH and chronic SDH, with a high risk of false accusations of abuse. Close monitoring of head circumference could prove vital in detecting children with this condition.
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