Subpial hemorrhage: A rare and underrecognized site of intracranial hemorrhage in neonates
Subpial hemorrhage (SPH) is a rare but significant cause of neonatal seizures and respiratory distress, primarily affecting full-term infants without apparent risk factors. We report the case of a full-term newborn who presented with recurrent episodes of apnea, desaturation, and seizures shortly af...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324013578 |
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| author | Anass El M Aary |
| author_facet | Anass El M Aary |
| author_sort | Anass El M Aary |
| collection | DOAJ |
| description | Subpial hemorrhage (SPH) is a rare but significant cause of neonatal seizures and respiratory distress, primarily affecting full-term infants without apparent risk factors. We report the case of a full-term newborn who presented with recurrent episodes of apnea, desaturation, and seizures shortly after birth. MRI revealed an acute hemorrhagic collection in the left temporal region, accompanied by cortical cytotoxic edema. The diagnosis of SPH was established based on characteristic imaging findings. The patient was treated with anticonvulsant therapy and intensive neonatal care, leading to a favorable outcome. Early diagnosis through neuroimaging, particularly MRI, is crucial for proper management, as SPH may be missed on routine ultrasound. Despite its rarity, SPH generally carries a good prognosis with timely intervention, although larger hemorrhages or cases in preterm infants may have a more uncertain prognosis. |
| format | Article |
| id | doaj-art-7cc5bc2a54604ed58c5c4a03e045f31a |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-7cc5bc2a54604ed58c5c4a03e045f31a2025-01-18T05:04:02ZengElsevierRadiology Case Reports1930-04332025-03-0120315781580Subpial hemorrhage: A rare and underrecognized site of intracranial hemorrhage in neonatesAnass El M Aary0From the Department of Radiology, University of Bourgogne Franche-Comté, CHRU Besançon, 3 boulevard Alexandre Fleming, Besançon 25030, FranceSubpial hemorrhage (SPH) is a rare but significant cause of neonatal seizures and respiratory distress, primarily affecting full-term infants without apparent risk factors. We report the case of a full-term newborn who presented with recurrent episodes of apnea, desaturation, and seizures shortly after birth. MRI revealed an acute hemorrhagic collection in the left temporal region, accompanied by cortical cytotoxic edema. The diagnosis of SPH was established based on characteristic imaging findings. The patient was treated with anticonvulsant therapy and intensive neonatal care, leading to a favorable outcome. Early diagnosis through neuroimaging, particularly MRI, is crucial for proper management, as SPH may be missed on routine ultrasound. Despite its rarity, SPH generally carries a good prognosis with timely intervention, although larger hemorrhages or cases in preterm infants may have a more uncertain prognosis.http://www.sciencedirect.com/science/article/pii/S1930043324013578Subpial hemorrhageNeonatal hemorrhagic lesionsNeonatal seizures |
| spellingShingle | Anass El M Aary Subpial hemorrhage: A rare and underrecognized site of intracranial hemorrhage in neonates Radiology Case Reports Subpial hemorrhage Neonatal hemorrhagic lesions Neonatal seizures |
| title | Subpial hemorrhage: A rare and underrecognized site of intracranial hemorrhage in neonates |
| title_full | Subpial hemorrhage: A rare and underrecognized site of intracranial hemorrhage in neonates |
| title_fullStr | Subpial hemorrhage: A rare and underrecognized site of intracranial hemorrhage in neonates |
| title_full_unstemmed | Subpial hemorrhage: A rare and underrecognized site of intracranial hemorrhage in neonates |
| title_short | Subpial hemorrhage: A rare and underrecognized site of intracranial hemorrhage in neonates |
| title_sort | subpial hemorrhage a rare and underrecognized site of intracranial hemorrhage in neonates |
| topic | Subpial hemorrhage Neonatal hemorrhagic lesions Neonatal seizures |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324013578 |
| work_keys_str_mv | AT anasselmaary subpialhemorrhagearareandunderrecognizedsiteofintracranialhemorrhageinneonates |