{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:40:02Z","timestamp":1756291202456,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,11,20]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Perinatal infratentorial haemorrhage (PIH) is a rare birth complication associated with abnormal labour.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case presentation<\/jats:title>\n                  <jats:p>A baby boy was born by vacuum extraction at 41 weeks\u2019 gestational age. The pregnancy was uneventful and Apgar scores were 3\/6\/9. Following initial resuscitation, insufficient and irregular breathing, non-reactive pupils and absence of spontaneous movements were noted. A diagnosis of perinatal asphyxia with hypoxic\u2013ischaemic encephalopathy (HIE) was considered. Therapeutic hypothermia (TH) for 72\u2009hours was initiated. Cerebral ultrasound showed only a mildly hyperechogenic periventricular substance. A brain MRI on the fourth day of life revealed a subdural haemorrhage in the posterior fossa with compression of the fourth ventricle.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>PIH is an important differential diagnosis to HIE that can be missed with ultrasound. PIH is a treatable condition but may be aggravated by TH. Therefore, in neonates at risk for PIH, a more detailed ultrasound protocol or brain MRI should be considered early.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bcr-2017-221144","type":"journal-article","created":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T06:55:42Z","timestamp":1512111342000},"page":"bcr-2017-221144","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Perinatal infratentorial haemorrhage: a rare but possibly life-threatening condition"],"prefix":"10.1136","volume":"2017","author":[{"given":"Bettina Cornelia","family":"Henzi","sequence":"first","affiliation":[{"name":"Division of Neuropaediatrics, University Children\u2019s Hospital, Inselspital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bendicht","family":"Wagner","sequence":"additional","affiliation":[{"name":"Division of Paediatric Intensive Care, University Children\u2019s Hospital, Inselspital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajeev Kumar","family":"Verma","sequence":"additional","affiliation":[{"name":"Institute for Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Bigi","sequence":"additional","affiliation":[{"name":"Division of Neuropaediatrics, University Children\u2019s Hospital, Inselspital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,12,1]]},"reference":[{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2008.09.019"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199912023412301"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.3","first-page":"85","article-title":"[Hematoma of the posterior cerebral fossa of a neonate after birth by vacuum extraction]","volume":"12","author":"Moufid","year":"2012","journal-title":"Pan Afr Med J"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.4","first-page":"100","article-title":"Neonatal posterior fossa haemorrhage associated with vacuum extractor","volume":"61","author":"Ghani","year":"2006","journal-title":"Med J Malaysia"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-010-0698-1"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.6","first-page":"25","article-title":"Betreuung der hypoxisch-isch\u00e4mischen Enzephalopathie des Termingeborenen","volume":"23","author":"Truttmann","year":"2012","journal-title":"Paediatrica"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.7","doi-asserted-by":"publisher","DOI":"10.1159\/000050448"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2006.09.005"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.9","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1186\/1471-2431-14-277","article-title":"Coagulopathy in newborns with hypoxic ischemic encephalopathy (HIE) treated with therapeutic hypothermia: a retrospective case\u2013control study","volume":"14","author":"Forman","year":"2014","journal-title":"BMC Pediatr"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.10","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e318286fc3a"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.11","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199706000-00016"},{"key":"2025082703160461000_2017.nov30_2.bcr-2017-221144.12","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/j.jocn.2004.03.034","article-title":"Conservative management of spontaneous posterior fossa subdural hematoma in a neonate","volume":"12","author":"Usul","year":"2005","journal-title":"J Clin Neurosci"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-221144","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:16:16Z","timestamp":1756289776000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-221144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,1]]},"references-count":12,"alternative-id":["10.1136\/bcr-2017-221144"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-221144","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,12,1]]}}}