A term neonate with intracranial bleed

A term male neonate with a birth weight of 3000 grams presented with complaints of multiple episodes of vomiting and seizures on 27 th day of life. On examination, the neonate was stuporous with bulging anterior fontanelle and anisocoria. The seizures were controlled with multiple aniticonvulsants. Urgent non contrast computed tomography of brain revealed subdural hemorrhage along right cerebral convexity with mass effect and midline shift. The baby had a prolonged prothrombin time and activated partial thromboplastin time with normal platelet count suggestive of vitamin K deficiency. Other factor levels were within normal limits. The neonate required a frontoparietal craniotomy for evacuation of the subdural hematoma. Vitamin K deficiency was corrected with intramuscular vitamin K injection and the baby was discharged without any focal neurological deficits. At follow up, 1 month post discharge, the neurological examination was normal.