Neonatal posterior fossa haemorrhage associated with vacuum extractor
Ghani, A.R.I.; Prakash, R.G.; Abdullah, J.
Medical Journal of Malaysia 61(1): 100-102
2006
ISSN/ISBN: 0300-5283 PMID: 16708744 Document Number: 603160
We report one case of posterior fossa intracranial haemorrhage in a full-term Malay baby boy following vacuum assisted delivery. The patient, a term baby boy was delivered by a vacuum extraction and later developed signs of increased intracranial pressure 72 hours after birth. Computed tomography (CT) of the brain showed a posterior fossa intracranial haemorrhage with acute obstructive hydrocephalus. He was initially treated with isolated ventricular shunting which later caused an upward cerebellar herniation. An immediate suboccipital craniectomy for evacuation of cerebellar haematoma was performed which resulted in a gradual recovery.