PEDIATRICS Vol. 14 No. 5 November 1954, pp. 468-474
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ACUTE SUBDURAL HEMORRHAGE AT BIRTH

RAYMOND SCHIPKE M.D.1, DAVID RIEGE M.D.1, and WILLIAM B. SCOVILLE M.D.1

1 Hartford (Conn.) Hospital.

The term "acute subdural hemorrhage of the newborn" has been suggested for comparison with subarachnoid hemorrhage of the newborn and chronic subdural hematoma of infancy.

Two cases of subdural hemorrhage in the newborn, treated by subdural drainage, are presented in detail. Five additional cases discovered at autopsy are discussed.

Increased tension of the fontanelle is the most important single sign for directing attention to the possibility of subdural bleeding at birth.

Early recognition as a prerequisite for favorable therapy is emphasized.

Subdural bleeding of clinical significance is best demonstrated by coronal subdural taps.

Submitted on July 13, 1954