Sudhansu S. E-mail: moc. Dear sir, Extradural hematoma EDH in an infant is a very rare entity. The presentation, the site, and the course of EDH in infants are quite different from that in adults.
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Sudhansu S. E-mail: moc. Dear sir, Extradural hematoma EDH in an infant is a very rare entity. The presentation, the site, and the course of EDH in infants are quite different from that in adults. Because the developing brain in infants is more compactly fitted to the skull, a small increase of volume in intracranial compartment raises the intracranial pressure ICP more alarmingly.
Again the EDH and scalp hematoma are sufficient enough to produce anemia and shock as the total blood volume is less in infants. So they need early surgical intervention for EDH and blood volume replacement. Commonly, the ladies in this part of the country sit on the bike as a pillion rider facing to one side so that they are more vulnerable to fall on slight acceleration or deceleration.
The child cried immediately after fall and after a while slept calmly. So, the child was taken to a local hospital where he was prescribed with antiemetic syrup and discharged. In the next 2 days parents noticed that the child had become more irritable although his feeding was normal. They also noticed gradual increase in the size of scalp swelling. So, the apprehensive parents brought the infant to neurosurgery outdoor.
No neurological deficit was detected. A computerized tomographic CT scan of head was done which showed right parietal EDH with midline shift of 3 mm [ Figure 1 ]. There was no associated skull fracture.
History and mechanism of injury Extradural hematoma The typical presentation is of a young patient involved in a head strike either during sport or a result of a motor vehicle accident who may or may not lose consciousness transiently. Following the injury they regain a normal level of consciousness lucid interval , but usually have an ongoing and often severe headache. Over the next few hours they gradually lose consciousness. Subdural hematoma In adults SDHs are due to falls and there may not be a clear history of trauma.
Extradural hematoma in an infant of 8 months
la chirurgie de l’hématome extra-dural