PEDIATRICS Vol. 66 No. 3 September 1980, pp. 474
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Neonatal Posterior Fossa Subdural Hematoma

Leslie L. Barton MD1

1 Department of Pediatrics, St Louis City Hospital, St Louis, MO 63104

I have followed with great interest the recent surge of literature relating to the diagnosis and treatment of neonatal intracranial hemorrhage. I do feel, however, that the conclusions drawn by Serfontein and Stein regarding the diagnosis of neonatal posterior fossa subdural orrhage need emphasis as well as clarification. These authors state that "should CT not be available, either subdural taps or ventriculography, or both, should be performed."1 The anatomy of the infants' skull,2 as well as the cases reported by these and other authors,3,4 serve to illustrate the importance of recognizing the infratentorial location of posterior fossa hemorrhage.