Endoscopic evacuation of cerebellar hematoma in a term newborn

• Published in: Brain & development (Tokyo. 1979) Vol. 35; no. 9; pp. 881 - 884
• Main Authors: Tanriverdi, Sema Rala, Turhan, Tuncer, Uygur, Ozgun, Koroglu, Ozge Altun, Yalaz, Mehmet, Kultursay, Nilgun
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.10.2013
• Subjects: Cerebellar Diseases - diagnosis; Cerebellar Diseases - pathology; Cerebellar hematoma; Cerebellum; Cerebral Hemorrhage - diagnosis; Cerebral Hemorrhage - pathology; Electroencephalography - methods; Endoscopes; Endoscopic evacuation; Hematoma - diagnosis; Hematoma - pathology; Humans; Hydrocephalus - diagnosis; Hydrocephalus - pathology; Infant, Newborn; Male; Neurology; Newborn; Term; Cerebellar hematoma; Newborn; Term; Endoscopic evacuation
• ISSN: 0387-7604; 1872-7131
• DOI: 10.1016/j.braindev.2012.11.009

Abstract Intracerebellar hemorrhage is very rare in term infants and only severe cases with massive intracranial hemorrhage, posthemorrhagic hydrocephalus and clinical deterioration due to increased intracranial pressure require neurosurgical evacuation. In recent adult studies endoscopic hematoma evacuation has been shown as a rapid, effective, and safe technique. A term newborn hospitalized for meconium aspiration syndrome showed hypertonia, jitteriness and abnormal amplitude integrated electroencephalogram findings. He was diagnosed with cerebellar hematoma which caused hydrocephalus by cranial magnetic resonance imaging (MRI). The hematoma was successfully evacuated neuroendoscopically as the first case in literature to our knowledge. Neurologic, a-EEG and MRI findings resolved.