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CC BY-NC-ND 4.0 · AJP Rep 2020; 10(03): e262-e265
DOI: 10.1055/s-0040-1715162
Case Report

Neonatal Cerebellar Hemorrhage and Facial Nerve Palsy: An Unusual Association

Caterina Coviello
1   Division of Neonatology, Careggi University Hospital of Florence, Florence, Italy
,
Giulia Remaschi
1   Division of Neonatology, Careggi University Hospital of Florence, Florence, Italy
,
Sabrina Becciani
1   Division of Neonatology, Careggi University Hospital of Florence, Florence, Italy
,
Simona Montano
1   Division of Neonatology, Careggi University Hospital of Florence, Florence, Italy
,
Iuri Corsini
1   Division of Neonatology, Careggi University Hospital of Florence, Florence, Italy
,
Federico Mussa
2   Department of Neurosurgery, Anna Meyer Children's Hospital, Florence, Italy
,
Massimo Basile
3   Interdisciplinary Specialist Department, Radiology Unit, Anna Meyer Children's Hospital, Florence, Italy
,
Carlo Dani
1   Division of Neonatology, Careggi University Hospital of Florence, Florence, Italy
4   Department of Neurosciences, Psychology, Drug Research and Child Health, Careggi University Hospital of Florence, Italy
› Author Affiliations Funding None.
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Abstract

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.

Keywords

cerebellar hemorrhage - facial palsy - infant


Publication History

Received: 10 September 2019

Accepted: 30 October 2019

Article published online:
02 September 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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