Key result
Burr hole evacuation of the right-sided chronic subdural hematoma led to clinical improvement in a 3-month-old infant with bilateral CSH and left internal carotid artery infarct.
Case Report (n=1)
Burr hole evacuation can lead to clinical improvement in rare cases of spontaneous chronic subdural hematoma with internal carotid artery infarct in infants.
Supports individualized surgical decisions in rare infant CSH with infarct; leaves open generalizability and requires prospective validation.
Spontaneous chronic subdural hematoma (CSH) in infants is extremely rare. A very limited number of cases are known and reported in literature. The clinical presentation can be myriad varying from asymptomatic cases to gross neurological deficits. We report a case of a 3-month-old child who presented to us with repeated episodes of focal seizures of the left upper and lower limb of 1 month duration. Subsequent imaging revealed bilateral CSH (right > left) with left internal carotid artery infarct and midline shift to left by 8 mm. The child improved following burr hole evacuation of the right-sided CSH. The management of such case and a brief review of literature are discussed.
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Kumar et al. (2016) conducted a case report in Idiopathic bilateral chronic subdural hematoma with left internal carotid artery infarct (n=1). Burr hole evacuation was evaluated on Clinical improvement. Burr hole evacuation of the right-sided chronic subdural hematoma led to clinical improvement in a 3-month-old infant with bilateral CSH and left internal carotid artery infarct.
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