Presentation
Witnessed accidental short fall followed by a seizure
Patient Data
Acute left subdural hematoma without mass effect.
A repeat head CT was obtained 36 hours later.
Regressed left sided subdural hematoma. Left parasagittal thrombosed cortical vein.
Case Discussion
This child was admitted to the hospital due to the seizure and worrisome acute subdural hematoma. By 36 hours the subdural hematoma was no longer visible. The child remained seizure free and was discharged on day 3. Six months later he was noted to be developing normally.
Although rare, there are case reports of acute subdural hematomas that are no longer visible within hours or days. It is suggested that the hematoma redistributes along the brain/spine axis.