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Neonatal Cerebellar Hemorrhage and Facial Nerve Palsy: An Unusual Association
oleh: Caterina Coviello, Giulia Remaschi, Sabrina Becciani, Simona Montano, Iuri Corsini, Federico Mussa, Massimo Basile, Carlo Dani
| Format: | Article |
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| Diterbitkan: | Thieme Medical Publishers, Inc. 2020-07-01 |
Deskripsi
Cerebellar hemorrhage is rare in term newborns and is most often seen after traumatic birth. Lifelong sequelae include motor and cognitive impairment. We report the uncommon case of a late preterm infant born by spontaneous delivery who showed right peripheral facial palsy at 24 hours of life. Cranial ultrasound showed lateral ventricles dilatation and a diffuse hyperechoic round lesion in the right cerebellar hemisphere. The computed tomography scan confirmed a hemorrhagic lesion in the right cerebellar hemisphere and in the vermis with midline shift and intraventricular bleeding. Ommaya reservoir was inserted and used for a few days. The facial palsy gradually recovered to a complete remission after 6 weeks. Follow-up examinations at 12 and 18 months evidenced infant's delayed motor function, hyperreflexia, tremors, and speech delay.