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
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.
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