Infarto cerebral arterial tras traumatismo al nacimiento

El infarto arterial perinatal representa una importante causa de deficit neurologicos que incluyen retraso mental, del desarrollo motor, epilepsia y defectos cognitivos graves. La mayoria de los infartos ocurren en recien nacidos a termino, por un tromboembolismo desde un vaso intracraneal o extracraneal asociado a un factor de riesgo tal como asfixia al nacimiento, enfermedades cardiacas, hematologicas o infecciosas. La asociacion con el parto instrumental no ha sido claramente demostrada, aunque existen casos descritos en la literatura especializada. La incidencia en el periodo perinatal se estima en uno de cada 4.000 recien nacidos a termino y ano. Se describen tres nuevos casos en recien nacidos a termino con antecedentes de parto instrumental y se revisa la etiopatogenia, el diagnostico y la evolucion de esta entidad.

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