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Progression of chronic subdural haematomas in an infant boy after abusive head trauma

E Wuerfel nee Tysiak1, Dirk Petersen, Stefan Gottschalk

  • 1Department of Pediatrics, University Luebeck, Ratzeburger Allee 160, 23538 Luebeck, Germany. eva.wuerfel@googlemail.com

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|March 17, 2012
PubMed

Insights

Abusive head trauma in infants can cause severe injury. This case study highlights progressive chronic subdural hematomas, emphasizing neuroimaging

Area of Science:

  • Pediatrics
  • Neurology
  • Forensic Pathology

Background:

  • Abusive head trauma (AHT) is a leading cause of infant mortality and morbidity.
  • Diagnosis can be challenging in ambiguous cases lacking direct evidence.
  • Neuroimaging plays a critical role in identifying AHT patterns.

Observation:

  • A case of AHT in an infant boy with progressive multifocal chronic subdural hematomas and re-bleedings is presented.
  • The hematomas evolved during closely monitored inpatient care, making re-traumatization unlikely.
  • Magnetic resonance imaging (MRI) documented the hematoma progression.

Findings:

  • The study demonstrates the dynamic evolution of chronic subdural hematomas in AHT.
  • Neurosurgical intervention, including endoscopic craniotomy and CSF drainage, led to favorable recovery.
  • This case underscores the importance of serial neuroimaging in diagnosing and managing AHT.

Implications:

  • Findings contribute to understanding the pathophysiology of chronic subdural hematomas in AHT.
  • Highlights the need for careful clinical evaluation and advanced neuroimaging in suspected AHT.
  • Informs clinical practice and psychosocial support for AHT victims and their families.

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