0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.87.25. Please contact the publisher to request reinstatement.
Special Feature |

Radiological Case of the Month FREE

Stefan Avenarius, MD; Kathrin Föhe, MD; Hubertus Schultz, MD; Eberhard Canzler, MD; Beverly P. Wood, MD
[+] Author Affiliations

From the Department of Neonatal and Pediatric Intensive Care, Center for Pediatrics, Medical Faculty of Otto-von-Guericke-University (Drs Avenarius and Föhe), Walter-Friedrich-Hospital (Drs Schultz and Canzler), Magdeburg, Germany; and the Department of Radiology, University of Southern California School of Medicine, Los Angeles (Dr Wood).


Section Editor: Beverly P. Wood, MD


Arch Pediatr Adolesc Med. 1999;153(10):1103-1104. doi:10.1001/archpedi.153.10.1103.
Text Size: A A A
Published online

DURING A ROBBERY a 19-year-old woman in her 29th week of pregnancy was stabbed in the lower abdomen. Two hours later, an emergency cesarean delivery was performed. Blood was present in the amniotic fluid. The Apgar scores were 2/5/6 at 1, 5, and 10 minutes, respectively. Above the right ear was a 2-cm-long bleeding wound. The neonate had stable respiratory and hemodynamic functions. The cerebral sonogram showed an extensive intracerebral hemorrhage in the region of the right thalamus and temporal lobe with a visible 5- to 6-cm-long incision channel (Figure 1) stretching about 1 cm beyond the midline. A large, right-sided subdural hematoma near the laceration site and intraventricular bleeding had occurred.

A cranial computed tomographic scan confirmed the incision channel and fresh bleeding (Figure 2). Surgical evacuation of a subdural hematoma was undertaken. Serial cranial sonography revealed right hydrocephalus and absence of the right thalamus and a small right choroid plexus, apparently excised by the knife (Figure 3). After age 6 months, left spastic hemiparesis, an abducted position of the left leg, and external rotation of the left hand developed.

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
JAMAevidence.com

The Rational Clinical Examination
Evidence Summary and Review 2

The Rational Clinical Examination
Location of Paracentesis and Ultrasound Guidance