Acute-on-Chronic Subdural Hemorrhage Due to Late Vitamin K Deficiency

Cureus. 2023 Jan 28;15(1):e34297. doi: 10.7759/cureus.34297. eCollection 2023 Jan.

Abstract

Vitamin K deficiency bleeding (VKDB) is closely associated with the hemorrhagic disease of the newborn (HDN) and can have a late onset, after one week of birth up to six months of age. It is a major concern in developing countries where vitamin K prophylaxis is not often given to newborns and can lead to significant mortality and morbidity. We report a case of a three-month-old child who was exclusively breastfed. He presented with repeated vomiting and was eventually diagnosed as a case of acute-on-chronic subdural hemorrhage. Timely diagnosis and surgical intervention played a key role in ensuring a favorable outcome for the child.

Keywords: bleeding disorder; breastfed; craniotomy; intracranial bleed; newborn.

Publication types

  • Case Reports