Giant transient dural sinus dilatation with neonatal nuchal cord

Abstract

This male child was born at term via an emergency cesarean section with symptoms of fetal distress manifested by reduced movements, abnormal heart rate, Apgar scores of 1 and 6, and an arterial cord pH of 6.93. A tight double nuchal cord was noticed that was immediately released. Stabilization included positive pressure ventilation with 100% oxygen, inhaled nitric oxide, and hypothermia for neuroprotection. No evidence of placental abruption or fetal–maternal hemorrhage was observed, and his hemoglobin level was 108 g/l (see Image 1).