Abstract
Spontaneous chronic subdural hematomas in infants are extremely rare. A very limited number of cases are known and reported in literature. The clinical presentation can be myriad varying from asymptomatic cases to gross neurological deficits. We report the cases of 2 infants who presented to us with repeated episodes of generalized tonic clonic seizures since birth. No etiology could be established for either of them. Subsequent imaging revealed chronic subdural hematoma, MCA infarct and cortical atrophy in both the cases. Both the cases improved following evacuation of the chronic subdural hematoma. One of the infants had secondary craniosynostosis for which additional coronal suturectomy had to be done. The management of such cases and a brief review of literature are discussed.
This is a preview of subscription content, log in via an institution to check access.
References
Alturu VL, Kumar IR. Intrauterine chronic subdural hematoma with postoperative tension pneumocephalus. Pediatr Neurol 1987; 3: 306–309.
Breningstall B, Patterson RJ. Intrauterine subdural hematoma. Pediatr Radiol 2000; 30: 630–631.
Diaz A, Taha S, Vinikoff L, Andriamamonjy C, Leriche B, Bintner M. Chronic subdural hematoma in utero. Case report with literature review. Neurochirurgie 1998; 44: 124–126.
Gunn TR, Mok PM, Becrott DM. Subdural hemorrhage in utero. Pediatrics 1985; 76: 605–610.
Hadzikaric N, Al-Habib H, Al-Ahmad I. Idiopathic chronic subdural hematoma in the newborn. Childs Nerv Syst 2006; 22: 740–742.
Kumar R, Mahapatra AK. Head injury in children. In AK Mahapatra, Raj Kamal, eds. Head Injury 3rd ed. New Delhi; Modern Publisher, 2005; 253–270.
Miura T, Tanaka H, Yoshinari M et al. A case of scurvy with subdural hematoma. Rinsho Ketsueki 1982; 23: 1235–1240.
Franklin J. Posterior fossa chronic subdural hematoma in the neonate. AJNR Am J Neuroradiol 1986; 7: 1099–1100.
Tomita H, Ito U, Tone O, Masaoka H, Tominaga B. Atrophy and maldevelopment of the ipsilateral cerebral hemisphere after acute subdural hematoma in infants. Surg Neurol 1994; 42: 498–504.
Robinson MJ. Fetal subdural hemorrhages presenting as hydrocephalus. Br Med J 1980; 281: 35.
Cheung PY, Obaid L, Rajani H. Spontaneous subdural hemorrhage in newborn babies. The Lancet 2004; 363: 2001–2002.
Hanigan WC, Ali MB, Cusack TJ, Miller TC, Shah JJ. Diagnosis of subdural hemorrhage in utero. J Neurosurg 1985; 63: 977–979.
Parsch CS, Krauss J, Hofmann E, Meixensberger J, Roosen K. Arachnoid cysts associated with subdural hematomas and hygromas: analysis of 16 cases, long-term follow-up, and review of the literature. Neurosurgery 1997; 40: 483–490.
Matsuyama T, Aoyama N, Sakaki T. A rare case of middle fossa neuroepithelial cyst accompanied by chronic subdural hematoma. No Shinkei Geka 1993; 21: 931–933.
Misra M, Salazar JL, Bloom DM. Subdural-peritoneal shunt: treatment for bilateral chronic subdural hematoma. Surg Neurol 1996; 46: 378–383.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kumar, R., Singhal, N. & Mahapatra, A.K. Idiopathic chronic subdural hematoma, MCA infarct and cortical atrophy with status epilepticus in infants. Indian J Pediatr 74, 1046–1048 (2007). https://doi.org/10.1007/s12098-007-0196-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12098-007-0196-6