Outcome following acute supratentorial subdural hematoma in pediatric age

The authors report their experience in surgical treatment of 39 cases of acute subdural hematoma, followed by intensive therapy and physiokinesitherapy. The causes of head injuries, types of fractures, localization of the hematomas, concomitant lesions, diagnostic and therapeutic clinical features are discussed. The most common neurological evaluation scales for rating the state of comas are used for comparing the cases of head injury in adults (Glasgow Coma Scale) and in children (Children's Coma Scale). The Authors also report clinical follow-up, morbidity, and general mortality rate. Moreover, they emphasize the frequency and clinical importance of cases with unapparent symptomatology and demonstrate that extrinsic eye movement is a very important factor for prognostic evaluation.