The vein of Galen is damaged due to tear in the dura at the junction of the falx cerebri and tentorium cerebelli. 1- Altered consciousness. 3- Breathing is absent, irregular and periodic or gasping. 5- Opisthotonus, rigidity, twitches and convulsions. High pitched cry.
Anterior fontanelle is tense and bulging.
Ultrasound is of value. CT scan is the most reliable. No oral feeding for 72 hours. Sedatives for convulsions. It is usually due to pressure by the forceps blade on the facial nerve at its exit from the stylomastoid foramen or in its course over the mandibular ramus.