Atrophy and maldevelopment of the ipsilateral cerebral hemisphere after acute subdural hematoma in infants

Tomita, Hiroki; Ito, Umeo; Tone, Osamu; Masaoka, Hiroyuki; Tominaga, Ben

doi:10.1016/0090-3019(94)90080-9

Cited by 5 publications

(2 citation statements)

References 15 publications

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“…Cerebral atrophy of the ipsilateral hemisphere after acute subdural hematoma has been reported in infants. 9 Other factors associated with the development of idiopathic chronic subdural hematoma in infants include sudden resolution of infantile hydrocephalus in cases with intermittent aqueductal stenosis and hydrocephalus, 10 maternal use of anticoagulants, parental history of coagulopathy 1 , cryptic vascular malformations, subtle bleeding diathesis 11 , asymptomatic intrauterine infections, hypovitaminosis, premature closure of fetal foramen ovale causing cardiac and hepatic decompensation with increase in central venous pressure and secondary coagulopathy 12 and associated arachnoid and neuroepithelial cysts. 13,14 The clinical presentation of infantile chronic SDH varies from asymptomatic cases to infants with gross neurological deficits.…”

Section: Spontaneous Chronic Subdural Hematoma (Csh) Without Known Etmentioning

confidence: 99%

Idiopathic chronic subdural hematoma, MCA infarct and cortical atrophy with status epilepticus in infants

2007

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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.

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Section: Spontaneous Chronic Subdural Hematoma (Csh) Without Known Etmentioning

confidence: 99%

Idiopathic chronic subdural hematoma, MCA infarct and cortical atrophy with status epilepticus in infants

2007

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“…Cerebral atrophy of the ipsilateral hemisphere after acute subdural hematoma (SDH) has been reported in infants. [ 9 ]…”

Section: Discussionmentioning

confidence: 99%

Idiopathic bilateral chronic subdural hematoma with left internal carotid artery infarct in a 3 months infant: A rare case report

et al. 2016

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Spontaneous chronic subdural hematoma (CSH) in infants is 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 a case of a 3-month-old child who presented to us with repeated episodes of focal seizures of the left upper and lower limb of 1 month duration. Subsequent imaging revealed bilateral CSH (right > left) with left internal carotid artery infarct and midline shift to left by 8 mm. The child improved following burr hole evacuation of the right-sided CSH. The management of such case and a brief review of literature are discussed.

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Mild hypothermia for hemispheric cerebral infarction after evacuation of an acute subdural hematoma in an infant

et al. 2001

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The use of mild hypothermia to treat hemispheric infarction after evacuation of an acute subdural hematoma in an infant is reported. The patient, a 2-year-old boy, presented with a deteriorating level of consciousness after a fall from a tree. Computed tomography (CT) scan revealed an acute subdural hematoma on the right side with marked midline shift, and emergency evacuation of the hematoma was performed. The postoperative course was uneventful until the patient's intracranial pressure (ICP) rose and his condition deteriorated 3 days after surgery. CT scan revealed a hemispheric infarction on the injured side. Mild hypothermia was induced to control the ICP and protect the brain. While the hypothermia was effective in lowering the elevated ICP, it failed to arrest progression of the infarction. The patient was discharged with mild disability 2 months after the injury. No serious complications occurred during or after the hypothermia. Our experience indicates that hypothermia can be a useful procedure for controlling the ICP in children with severe traumatic brain injury including acute subdural hematoma, although its capability to protect the brain from severe, progressive ischemia appears to be limited.

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Atrophy and maldevelopment of the ipsilateral cerebral hemisphere after acute subdural hematoma in infants

Cited by 5 publications

References 15 publications

Idiopathic chronic subdural hematoma, MCA infarct and cortical atrophy with status epilepticus in infants

Idiopathic chronic subdural hematoma, MCA infarct and cortical atrophy with status epilepticus in infants

Idiopathic bilateral chronic subdural hematoma with left internal carotid artery infarct in a 3 months infant: A rare case report

Mild hypothermia for hemispheric cerebral infarction after evacuation of an acute subdural hematoma in an infant

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