Giant cranial pseudomeningocele after vacuum extraction

A female newborn was presented to the neurosurgery department at 3 weeks of age with a subcutaneous scalp bulge (figure 1A). Figure 1 (A) Extracranial transilluminant collection. (B) Coronal, T2-weighted MRI of the cranium showing a leak through the metopic suture suggesting a dural defect, a subaponeurotic pseudomeningocele and bilateral brain lesions. She was born at 40 weeks of gestation by vacuum extraction in another hospital. A frontal caput succedaneum was present at birth, and a cephalhaematoma developed next to the sagittal suture during the following hours. …