Subdural Haematoma in Infancy

Abstract

Twenty-five cases of subdural haematoma in infancy are reviewed. All the patients presented under the age of 2 years, and less than half had a history of trauma. The common presenting symptoms were convulsions, vomiting, and drowsiness; the common signs were increased tension of the anterior fontanelle, retinal haemorrhage, anaemia, and increased head circumference. The non-specificity of the presenting symptoms is stressed. The plan of treatment adopted is outlined, and the prognosis assessed in a follow-up ranging from one to five years. Sixty per cent. of the children appeared physically and mentally normal. Factors affecting the prognosis of this condition and controversial aspects of its treatment are discussed. © 1965, British Medical Journal Publishing Group. All rights reserved.