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Related Experiment Videos

Infantile acute subdural hematoma.

A Ikeda, O Sato, R Tsugane

    Child'S Nervous System : Chns : Official Journal of the International Society for Pediatric Neurosurgery
    |January 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

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    Infantile acute subdural hematoma often involves bilateral or contralateral fluid collections. Hemorrhage likely occurs into pre-existing subdural fluid, particularly in infants with cranio-cerebral disproportion after minor head injury.

    Area of Science:

    • Pediatric Neurosurgery
    • Neuropathology

    Background:

    • Infantile acute subdural hematoma (iASH) is a serious condition with debated pathogenesis.
    • Understanding the origins of iASH is crucial for effective diagnosis and treatment.

    Purpose of the Study:

    • To investigate the pathogenesis of infantile acute subdural hematoma.
    • To identify predisposing factors and mechanisms leading to iASH.

    Main Methods:

    • Retrospective analysis of 15 infantile acute subdural hematoma cases.
    • Review of clinical data, surgical findings, and pathological characteristics.

    Main Results:

    • 11 of 15 cases showed bilateral or contralateral subdural fluid collections.
    • In operated patients, collections frequently consisted of bloody fluid or clotted blood.

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  • Subdural membranes, similar to adult chronic subdural hematoma, were observed in 3 patients.

    • Conclusions:

    • Hemorrhage in iASH likely results from minor head injury affecting bridging veins into pre-existing subdural fluid collections.
    • Cranio-cerebral disproportion may predispose infants to iASH from minor head trauma.
    • Infants without disproportion are less likely to develop iASH from minor head injury.