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A male term infant (41+2 weeks gestational age), born in excellent condition after ventouse delivery, presented at 2 hours with pallor and metabolic acidosis (capillary blood sample pH 6.45, base excess −34). He rapidly became encephalopathic, developed disseminated intravascular coagulopathy, multiorgan failure, and an increasing head circumference (41 cm at presentation compared with 35 cm at birth). Despite aggressive blood product replacement and an attempt at draining the scalp haematoma, his condition deteriorated. Neurosurgical intervention was considered but felt inappropriate.
Magnetic resonance imaging was performed at 4.7 T …
Competing interests: none declared