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Subdural hematomas and emergency management in infancy and childhood: a single institution's experience

Ozkan Tehli1, Burak Kazanci, Erhan Türkoğlu

  • 1Maraşal Fevzi Çakmak Military Hospital, Erzurum, Turkey.

Pediatric Emergency Care
|September 1, 2011
PubMed

Insights

Subdural hematomas (SHs) are common in children and often result from head trauma, abuse, or bleeding disorders. These conditions carry a poor prognosis, highlighting the need for multidisciplinary care.

Area of Science:

  • Pediatric Neurology
  • Trauma Surgery
  • Child Abuse Pediatrics

Background:

  • Subdural hematomas (SHs) in children present unique diagnostic and management challenges.
  • Understanding the etiology and outcomes of pediatric SH is crucial for improving patient care.

Purpose of the Study:

  • To determine the incidence, clinical characteristics, management strategies, and outcomes of subdural hematomas in infants and children.
  • To identify risk factors associated with poor prognosis in pediatric SH.

Main Methods:

  • Retrospective analysis of 21 children under 11 years old diagnosed with subdural hematoma.
  • Evaluation of clinical presentations, injury mechanisms, and patient outcomes.
  • Consideration of child abuse and coagulation disorders as potential etiologies.

Main Results:

  • SHs in children stemmed from various causes including minor head trauma (n=8), falls (n=9), child abuse (n=3), and car accidents (n=1).
  • Coagulation disorders were present in five children with minor head injuries.
  • Vomiting and seizures were common presenting symptoms; deep coma at admission correlated with unfavorable outcomes.

Conclusions:

  • Subdural hematoma is a significant condition in pediatric populations with a generally poor prognosis.
  • Etiologies include head trauma, coagulation disorders, and child abuse, necessitating a comprehensive diagnostic approach.
  • Multidisciplinary collaboration among pediatricians, social workers, and neurosurgeons is recommended for optimal patient management.
Abstract

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