Traumatic brain lesions in newborns

Nícollas Nunes Rabelo; Hamilton Matushita; Daniel Dante Cardeal

doi:10.1590/0004-282X20170016

Arquivos de Neuro-Psiquiatria, Table of Contents

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2017; 75(03): 180-188
DOI: 10.1590/0004-282X20170016

VIEW AND REVIEW

Traumatic brain lesions in newborns

Lesões cerebrais traumaticas em recém nascidos

Nícollas Nunes Rabelo

¹Hospital Santa Casa de Ribeirão Preto. Departamento de Neurocirurgia, Ribeirão Preto SP, Brasil;

,

Hamilton Matushita

²Universidade de São Paulo. Divisão de Neurocirurgia Pediátrica, Faculdade de Medicina, São Paulo SP, Brasil.

,

Daniel Dante Cardeal

²Universidade de São Paulo. Divisão de Neurocirurgia Pediátrica, Faculdade de Medicina, São Paulo SP, Brasil.

› Author Affiliations

Abstract

ABSTRACT

The neonatal period is a highly vulnerable time for an infant. The high neonatal morbidity and mortality rates attest to the fragility of life during this period. The incidence of birth trauma is 0.8%, varying from 0.2-2 per 1,000 births. The aim of this study is to describe brain traumas, and their mechanism, anatomy considerations, and physiopathology of the newborn traumatic brain injury.

Methods

A literature review using the PubMed data base, MEDLINE, EMBASE, Science Direct, The Cochrane Database, Google Scholar, and clinical trials. Selected papers from 1922 to 2016 were studied. We selected 109 papers, through key-words, with inclusion and exclusion criteria.

Discussion

This paper discusses the risk factors for birth trauma, the anatomy of the occipito-anterior and vertex presentation, and traumatic brain lesions.

Conclusion

Birth-related traumatic brain injury may cause serious complications in newborn infants. Its successful management includes special training, teamwork, and an individual approach.

RESUMO

O período neonatal é um período vulnerável para o recém nascido. As altas taxas de morbidade e mortalidade neonatal atestam a fragilidade da vida durante esta fase. Trauma durante o nascimento é de 0,8%, variando de 0,2 a 2 por 1000 nascimentos. O objetivo deste estudo é descrever o tocotraumatismo, seu mecanismo, considerações anatçmicas e fisiopatologia da lesão em recém nascido.

Métodos

Revisão da literatura utilizando base de dados PubMed, MEDLINE, EMBASE, Science Direct, The Cochrane Detabase, Google Scolar, ensaios clínicos. Os trabalhos selecionados foram de 1922 a 2016. Foram selecionados 109 trabalhos, através de palavras-chave, inclusão e critérios de exclusão.

Discussão

Este artigo discute os fatores de risco para o trauma do nascimento, a anatomia da apresentação do vértex occipto-anterior e as lesões traumáticas cerebrais.

Conclusão

Lesão cerebral traumática no nascimento pode causar complicações graves nos recém-nascidos. O tratamento desta condição deve ser especializado, envolvendo trabalho, equipe e abordagem individualizado

Newborn - brain injury - birth Injuries - pediatrics

Recém-nascido - lesão cerebral - nascimento Lesões - pediatria

Full Text

References

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