Subdural hygroma (infant)

Case contributed by Joseph Scheller
Diagnosis certain

Presentation

Infant with macrocephaly and vomiting

Patient Data

Age: 3 months
Gender: Male
ultrasound

Biateral subdural hygroma with debris.

ct

Bilateral symmetric subdural hygroma with small acute subdural hematoma in the right posterior vertex.

mri

Bilateral subdural hygroma with small acute right vertex subdural hematoma. There are very small supra and infratentorial acute subdural hematomas as well.

Case Discussion

Macrocephaly is a common presentation of subdural hygroma, as is vomiting due to increased intracranial pressure. Acute subdural hemorrhage is a common complication, thought to be due to stretching of small vessels across the expanded subdural space as well as due to membranous bleeding.

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