What is a common clinical sign of subdural hemorrhage appearing on days 2-3?

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Focal seizures can be a common clinical sign of subdural hemorrhage in neonates, particularly appearing around days 2-3 after birth. This timing aligns with the period when symptoms of such a hemorrhage may become evident as the blood accumulation exerts pressure on surrounding brain tissue, which can irritate the brain and lead to seizure activity.

Focal seizures specifically indicate localized dysfunction in the brain that can result from injury, including bleeding. In clinical practice, identifying seizures is crucial as they signal potential neurological compromise which may require further evaluation and intervention.

In this context, the other options, while they may also occur in various neonatal conditions, are not specifically distinctive signs associated with subdural hemorrhage in the same way that focal seizures are. Apnea may happen for numerous reasons in neonates, including immaturity or other respiratory issues. Poor feeding can be nonspecific and related to various gastrointestinal or feeding challenges. Increased crying could suggest discomfort or distress but does not specifically point to subdural hemorrhage as focal seizures do.

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