Open AccessIdiopathic bilateral chronic subdural hematoma with left internal carotid artery infarct in a 3 months infant: A rare case report
Author(s) -
Mritunjay Kumar,
Krishan Yadav,
Saurabh Verma,
Vikas Maheshwari
Publication year - 2016
Publication title -
journal of pediatric neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 18
eISSN - 1998-3948
pISSN - 1817-1745
DOI - 10.4103/1817-1745.199466
Subject(s) - medicine , asymptomatic , chronic subdural hematoma , presentation (obstetrics) , hematoma , internal carotid artery , midline shift , surgery , radiology
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.