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Vol. 20. Issue 3.
Pages 262-264 (January 2009)
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Vol. 20. Issue 3.
Pages 262-264 (January 2009)
DOI: 10.1016/S1130-1473(09)70165-4
Lesiones craneales secundarias a parto asistido con forceps
Cranial lesions due to forceps delivery
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F. Villarejo, M. Belinchón??, F. Carceller, A. Gómez-Sierra, A. Pascual, F. Cordobés, C. Pérez-Díaz, B. Rivero
Servicios de Neurocirugía del Hospital Niño Jesús y Hospital La Paz. Madrid. España
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Resumen

Los partos asistidos con forceps o vacuum aumentan la incidencia de lesiones craneoencefálicas fetales, siendo la tendencia actual a realizar cesáreas en partos que se prevén difíciles.

Presentamos una serie de tres casos de lesiones craneales secundarias a parto asistido con forceps, dos casos de fracturas deprimidas y una fractura deprimida con hematoma epidural subyacente. El diagnóstico se realiza con la clínica y técnicas de imagen como TAC o IRM. El tratamiento es quirúrgico en la mayoría de casos, con elevación de la fractura y evacuación del hematoma.

La forma correcta de aplicar los forceps resulta esencial para prevenir lesiones craneales fetales, especialmente en partos difíciles.

Palabras clave:
Extracción con forceps
Extracción con vaéuum
Fractura craneal
Fractura deprimida
Hematoma epidural
Summary

Deliveries with forceps or vacuum-extraction increase the incidence of perinatal craneoencephalic lesions, for which reason cesarean sections are performed more frequently. We report 3 cases of cranial lesions due to forceps deliveries, 2 with depressed skull fractures and 1 with a depressed fracture and an associated epidural hematoma. Diagnosis is made on clinical and radiological founds with CT scan or MRI. Treatment is surgical and consists of elevation of the depressed fracture and evacuation of the hematoma. The correct use of forceps is very important to avoid this kind of lesions in the newborn, especially in cases of difficult delivery.

Keywords:
Delivery with vacuum-extraction
Depressed skull fracture
Epidural hematoma
Forceps delivery
Skull fractures

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