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SA Journal of Radiology
On-line version ISSN 2078-6778
Print version ISSN 1027-202X
Abstract
KARTHIKEYAN, Monish G.; RONDA, Poojitha and SUGUMARAN, Prabhu C.. Factor XIII deficiency in a neonate presenting as subpial haemorrhage. S. Afr. J. radiol. (Online) [online]. 2022, vol.26, n.1, pp.1-4. ISSN 2078-6778. http://dx.doi.org/10.4102/sajr.v26i1.2344.
Subpial haemorrhage is a rare cause of seizures in term neonates. A 3-day-old male infant, born at term with no history of perinatal hypoxia, presented with seizures and unremarkable physical examination in the interictal state. Imaging demonstrated left temporal subpial haemorrhage with the classic 'yin-yang sign' on MRI. The patient was subsequently diagnosed with factor XIII deficiency. Follow-up at 6 months and 12 months revealed encephalomalacia in the previous haemorrhagic areas with normal developmental milestones.
Keywords : intracranial haemorrhage; subpial haemorrhage; term neonate; yin-yang sign Factor XIII; CT; MRI.