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Journal of Child Neurology
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Cranial Magnetic Resonance Imaging Examination of Normal Term Neonates: A Pilot Study

Kenton R. Holden, MD

Department of Neurology, Division of Pediatric Neurology, Medical University of South Carolina, Charleston, SC

M. Olivia Titus, BA

Department of Neurology, Division of Pediatric Neurology, Medical University of South Carolina, Charleston, SC

Pamela Van Tassel, MD

Department of Radiology Medical University of South Carolina, Charleston, SC

This pilot study's aim was to determine, using magnetic resonance imaging (MRI), if and to what extent asymptomatic intracranial hemorrhage occurs in normal term neonates after uncomplicated vaginal deliveries. Eight normal, term, vaginally delivered infants and three cesarean-section deliveries used as controls underwent cranial MRI. No sedation was administered. Small subdural hematomas of the falx cerebri or tentorium cerebelli were found in half of those with an uneventful vaginal delivery. Pediatric follow-up, on average 3.9 years after the MRI study was performed, demonstrated normal growth and development. It appears that more data is needed to confirm the observation that the intracranial hemorrhages described should not be considered the etiology for neurologic abnormalities present in symptomatic neonates. (J Child Neurol 1999;14:708-710).

Journal of Child Neurology, Vol. 14, No. 11, 708-710 (1999)
DOI: 10.1177/088307389901401104


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