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Hemorrhagic infarction at 33 days after birth in a healthy full-term neonate

Authors Kubo Y, Ogasawara K, Akira Kurose, Kashimura H, Koji T, Otawara Y, Kamei J, Akasaka M, Sasaki M, Ogawa A

Published 8 November 2011 Volume 2011:7 Pages 667—670


Review by Single anonymous peer review

Peer reviewer comments 3

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Yoshitaka Kubo1, Kuniaki Ogasawara1, Akira Kurose2, Hiroshi Kashimura1, Takahiro Koji1, Yasunari Otawara1, Jun Kamei3, Manami Akasaka3, Makoto Sasaki4, Akira Ogawa1
1Department of Neurosurgery, 2Department of Pathology, 3Department of Pediatrics, 4Department of Radiology, Iwate Medical University, Morioka, Japan

Abstract: Intraparenchymal hemorrhage in the full-term neonate rarely occurs more than 2 weeks after birth, and its definitive cause remains unclear. In the present report, a case of a patient with intraparenchymal hemorrhage occurring 33 days after birth is described. Histological examination of the brain tissue obtained during hematoma evacuation through craniotomy showed hemorrhagic infarction. Patent foramen ovale may have been present and this may have led to spontaneous paradoxical cerebral embolism followed by hemorrhagic infarction.

Keywords: full-term neonate, hemorrhagic cerebral infarction, patent foramen ovale, surgery

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