Occult large epidural hemorrhage in a newborn infant after in-hospital fall

Article type: Case Report

Authors: Sato, Ray^{; *}

Affiliations: Tacoma General Hospital, Tacoma, Washington and The MEDNAX Center for Research, Education and Quality, Sunrise, FL, USA

Correspondence: [*] Address for correspondence: Ray Sato, Tacoma General Hospital NICU, 315 MLK Jr Way, Tacoma, WA 98405, USA. Tel.: +1 253 403 1019; Fax: +1 253 403 1686; E-mail: [email protected].

Abstract: Management of newborn infants fell in-hospital is especially challenging given the limited signs and symptoms of intracranial hemorrhage in this age group. We present a case of a four day old well appearing newborn infant found to have a severe epidural hemorrhage requiring emergent surgical drainage. Development of imaging protocols for newborn infants suffering in-hospital falls need to consider the potential consequences of missing actionable intracranial hemorrhage when relying on clinical observation as a management strategy.

Keywords: Infant, newborn, Hematoma, epidural, In-hospital fall

DOI: 10.3233/NPM-181752

Journal: Journal of Neonatal-Perinatal Medicine, vol. 11, no. 2, pp. 195-197, 2018