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Journal of Child Neurology
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Article

Do Vacuum-Assisted Deliveries Cause Intracranial Vessel Injuries?

Yan-Yan Ng, MD1, Pen-Hua Su, MD, PhD2, Jia-Yuh Chen, MD, PhD2, and Inn-Chi Lee, MD2*

1 Department of Pediatrics, Chung Shan Medical University, Taichung, Taiwan
2 Department of Pediatrics, Chung Shan Medical University Hospital, and Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan

* To whom correspondence should be addressed. E-mail: y610{at}mercury.csmu.edu.tw.


  Abstract

Vacuum-assisted deliveries are fairly commonly used in obstetrical practice. Most newborns who have a vacuum-assisted delivery undergo extracranial birth traumas that have no residual consequences. Vacuum-assisted deliveries that complicate intracranial vascular infarction are rarely reported. We present 2 cases of intracranial vessel infarction after vacuum-assisted deliveries. One newborn, with scalp erosion, showed an unusual left middle cerebral artery infarct, and the other, with a severe subgaleal hematoma, had a venous thrombosis. Before the diagnosis, made using brain ultrasonography, neither had specific observable neurological symptoms. In conclusion, vacuum-assisted deliveries should be given special attention, especially when they are combined with a severe extracranial birth trauma.

First published on June 29, 2009, doi:10.1177/0883073809332770

Journal of Child Neurology 2010;25:222.

A more recent version of this article appeared on February 1, 2010

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