Infantile spinal and cerebral subdural hemorrhage

Case contributed by Dr Joseph Scheller

Presentation

Infant with emesis and a bulging fontanelle. The child had suffered a small acute subdural hemorrhage 2 months prior as a passenger in an MVA

Patient Data

Age: 8 months
Gender: Male

Acute left frontal and parietal subdural hemorrhage without skull or scalp findings and without mass effect.

 

Left acute subdural hematoma with hygroma.

Thoracic spinal acute subdural hemorrhage without mass effect.

Lumbar subdural hemorrhage, no mass effect.

Case Discussion

This child had a witnessed accidental head trauma two months prior to this study. The child developed vomiting, physical exam and a skeletal survey revealed no evidence of trauma.  A repeat head CT and MR of the head demonstrated a subdural hemorrhage rebleed. Thoracic and lumbar subdural hemorrhage were noted as well. With no evidence of trauma the likely mechanism for spinal subdural hemorrhage is tracking from the head.

PlayAdd to Share

Case information

rID: 57621
Published: 3rd Jan 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.