Contrecoup subdural hematoma - 2-year-old

Case contributed by Joseph Scheller
Diagnosis certain

Presentation

Toddler found lethargic at the bottom of the steps

Patient Data

Age: 2 years
Gender: Female

Left-sided acute subdural hematoma with left-to-right shift and subfalcine herniation. There is adjacent hypoattenuating extra-axial fluid, which may be hyperacute blood or chronic in nature.

There is right parietal scalp swelling.

Case Discussion

An urgent craniotomy done three hours later revealed a left subdural clot as well as bleeding from a subdural vein.

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