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Joseph Junewick, MD FACR
over 8 years ago
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Case History

1 day old with lethargy.

Case Detail

Anatomy: Brain-Spine
Joseph Junewick, MD FACR
Diagnostic Category: Vascular
Created: over 7 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: CT
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Reveal Clinical Notes

Precipitous at home delivery. Vitamin K not administered.

Reveal Findings

CT – Large posterior fossa hematoma (hemispheric and extra-axial) with fluid-fluid level and obstructive hydrocephalus.

Reveal Discussion

Neonatal bleeding results from disorders of platelets, coagulation proteins, and vascular integrity. While healthy newborns have low levels of some coagulation proteins, this is normally balanced by the paralleled decrease in fibrinolytic activity. Causes of neonatal bleeding may include platelet disorders (thrombocytopenia from syndromes, infection, consumption and hemolytic disease and abnormal platelet function from vonWillebrand disease and indomethicin therapy), deficient coagulation proteins (Hemophilia A, Hemophilia B, Factor V VII X XI or XII deficiency, afibrogenemia, and vitamin K deficiency), combined platelet and coagulation protein defects (disseminated intravascular coagulation, hepatic dysfunction), and abnormal sequestration (hemangiomas).

Reveal Diagnosis

Coagulopathy of the Newborn,

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