Occult large epidural hemorrhage in a newborn infant after in-hospital fall

Management of newborn infants fell in-hospital is especially challenging given the limited signs and symptoms of intracranial hemorrhage in this age group. We present a case of a four day old well appearing newborn infant found to have a severe epidural hemorrhage requiring emergent surgical drainage. Development of imaging protocols for newborn infants suffering in-hospital falls need to consider the potential consequences of missing actionable intracranial hemorrhage when relying on clinical observation as a management strategy.

*Corresponding Author: 

Ray Sato, Tacoma General Hospital NICU, 315 MLK Jr Way, Tacoma, WA 98405, USA. Tel.: +1 253 403 1019; Fax: +1 253 403 1686; E-mail: ray_sato@mednax.com.