Acting on macrocephaly in the neonatal period: an illustrative case of congenital teratoma
Thust, S.C.
Acting on macrocephaly in the neonatal period: an illustrative case of congenital teratoma - 2014
NMUH Staff Publications
<span style="font-size: 8pt;"><span style="font-family: Arial;"><span style="line-height: 17.9998016357422px;">An 11-week-old baby was brought to the paediatric emergency department by his mother with a 2-day history of inconsolable crying. On examination, clinical features of </span><span class="highlight" style="line-height: 17.9998016357422px;">macrocephaly</span><span style="line-height: 17.9998016357422px;">, separated sutures and 'sunsetting' of the eyes were noted. Abnormal head circumference measurements had been obtained on several occasions since birth, but were not acted on contrary to local guidance. During the emergency admission, an urgent CT scan revealed a large posterior fossa tumour consistent with a </span><span class="highlight" style="line-height: 17.9998016357422px;">teratoma</span><span style="line-height: 17.9998016357422px;"> causing severe obstructive hydrocephalus. Following referral to a neurosurgical centre, emergency ventricular drainage and debulking surgery were performed, unfortunately with no option for cure. Distress to mother and baby could have been reduced with a more timely diagnosis.</span></span></span>
Acting on macrocephaly in the neonatal period: an illustrative case of congenital teratoma - 2014
NMUH Staff Publications
<span style="font-size: 8pt;"><span style="font-family: Arial;"><span style="line-height: 17.9998016357422px;">An 11-week-old baby was brought to the paediatric emergency department by his mother with a 2-day history of inconsolable crying. On examination, clinical features of </span><span class="highlight" style="line-height: 17.9998016357422px;">macrocephaly</span><span style="line-height: 17.9998016357422px;">, separated sutures and 'sunsetting' of the eyes were noted. Abnormal head circumference measurements had been obtained on several occasions since birth, but were not acted on contrary to local guidance. During the emergency admission, an urgent CT scan revealed a large posterior fossa tumour consistent with a </span><span class="highlight" style="line-height: 17.9998016357422px;">teratoma</span><span style="line-height: 17.9998016357422px;"> causing severe obstructive hydrocephalus. Following referral to a neurosurgical centre, emergency ventricular drainage and debulking surgery were performed, unfortunately with no option for cure. Distress to mother and baby could have been reduced with a more timely diagnosis.</span></span></span>
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