Birth-Related Subdural Hemorrhage in Asymptomatic Newborns: Magnetic Resonance Imaging Prevalence and Evolution of Intracranial and Intraspinal Localization.

IF 2.2 4区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Tomography Pub Date : 2025-05-20 DOI:10.3390/tomography11050058

Davide Turilli, Leandra Piscopo, Alberto Dessì, Claudia Pinna, Liala Mirella Fattacciu, Emma Solinas, Ilaria Conti, Stefania Tamburrini, Giacomo Sica, Michele Klain, Salvatore Masala, Mariano Scaglione

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Abstract

Background: Neonatal birth-related intracranial subdural hemorrhages (SDHs) represent a form of bleeding inside the skull that occurs in newborns. This condition includes the extravasation of blood both in the encephalic parenchyma and in the extra-axial spaces. Recent studies have shown that SDH and particularly post-traumatic birth-related hemorrhages represent a frequent occurrence, but they are often asymptomatic. The gold standard for the diagnosis and follow-up of patients with SDH is multiparametric Magnetic Resonance Imaging. The aim of this study is to describe our experience by reporting several cases of SDH with different distribution and Central Nervous System involvement by the MRI of this pathology in infants up to 30 days of age. Methods: We analyzed the age and sex of the patients included in this study, the localization of SDH in different CNS areas, and their frequency using distribution plots and pie charts. Results: About the analysis of the SDH locations in the 32 patients, the most common location was the cerebellum (31/32, 96.9%), followed by parietal and occipital lobes (19/32, 59.4%; 18/32, 56.2%, respectively), falx cerebri (11/32, 34.4%), tentorium cerebelli (10/32, 31.2%), temporal lobes (6/32, 18.7%), and finally cervical and dorsal spine in the same patients (4/32, 12.5%). According to SDH locations, the patients were divided into supratentorial, infratentorial, both, and Spinal Canal. Conclusions: Our study confirmed the literature data regarding the neonatal birth-related SDH high frequency, but also allowed us to focus our attention on the rarest spinal SDH localizations with the same benign evolution.

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无症状新生儿的出生相关硬膜下出血：磁共振成像颅内和椎管内定位的流行和演变。

背景：新生儿出生相关的颅内硬膜下出血（SDHs）是新生儿颅骨内出血的一种形式。这种情况包括脑实质和轴外间隙的血液外渗。最近的研究表明，SDH，特别是创伤后出生相关出血是一种常见的情况，但它们通常是无症状的。多参数磁共振成像是SDH患者诊断和随访的金标准。本研究的目的是通过报告几个不同分布的SDH病例来描述我们的经验，并通过MRI对30天以下婴儿的这种病理进行中枢神经系统受累。方法：采用分布图和饼状图分析本组患者的年龄、性别、SDH在中枢神经系统不同区域的定位及发生频率。结果：32例患者SDH发生部位分析中，以小脑最多见（31/32,96.9%），其次为顶叶和枕叶（19/32,59.4%）；分别为18/32,56.2%)，大脑镰（11/32,34.4%），小脑幕（10/32,31.2%），颞叶（6/32,18.7%），最后是颈椎和脊柱背（4/32,12.5%）。根据SDH的位置，患者分为幕上、幕下、两者和椎管。结论：我们的研究证实了文献中关于新生儿出生相关SDH高频率的数据，但也使我们能够将注意力集中在具有相同良性进化的罕见脊柱SDH定位上。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tomography Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

2.70

自引率

10.50%

发文量

222

期刊介绍： TomographyTM publishes basic (technical and pre-clinical) and clinical scientific articles which involve the advancement of imaging technologies. Tomography encompasses studies that use single or multiple imaging modalities including for example CT, US, PET, SPECT, MR and hyperpolarization technologies, as well as optical modalities (i.e. bioluminescence, photoacoustic, endomicroscopy, fiber optic imaging and optical computed tomography) in basic sciences, engineering, preclinical and clinical medicine. Tomography also welcomes studies involving exploration and refinement of contrast mechanisms and image-derived metrics within and across modalities toward the development of novel imaging probes for image-based feedback and intervention. The use of imaging in biology and medicine provides unparalleled opportunities to noninvasively interrogate tissues to obtain real-time dynamic and quantitative information required for diagnosis and response to interventions and to follow evolving pathological conditions. As multi-modal studies and the complexities of imaging technologies themselves are ever increasing to provide advanced information to scientists and clinicians. Tomography provides a unique publication venue allowing investigators the opportunity to more precisely communicate integrated findings related to the diverse and heterogeneous features associated with underlying anatomical, physiological, functional, metabolic and molecular genetic activities of normal and diseased tissue. Thus Tomography publishes peer-reviewed articles which involve the broad use of imaging of any tissue and disease type including both preclinical and clinical investigations. In addition, hardware/software along with chemical and molecular probe advances are welcome as they are deemed to significantly contribute towards the long-term goal of improving the overall impact of imaging on scientific and clinical discovery.