Acute subdural haematoma in a neonate

A 19 years old primagravida delivered a female baby 5 days back in a hospital. A breach delivery was conducted and baby slipped out of hands of the assistant conducting the delivery. The baby did not cry for about 15 minutes after birth and was found to be lethargic,moving right side less. Left periorbital swelling was also noticed and left pupil was found dilated.. 8 hours after delivery baby was referred to my hospital where a prompt NCCT head was done, which revealed large left side acute subdural haematoma and subarchnoid haemorrhage with marked left to right midline shift.
Emergency craniotomy was done and subdural haematoma removed. This is the smallest infant operated for acute subdural haematoma till today, in my 31 years of neurosurgery.
Infant is doing well.

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