PERSPECTIVE
Neurology
Subdural haemorrhages, haematomas, and effusions in infancy
Correspondence to:
Correspondence to:
Dr R A Minns
Department of Paediatric Neurosciences, Royal Hospital for Sick Children, 9 Sciennes Road, Edinburgh EH9 1LF, UK; robert.minns@ed.ac.uk
Commentary on the papers by Datta et al (see page 947) and Hobbs et al (see page952)
Keywords: subdural haematoma; subdural effusion; infancy; non-accidental head injury; neurodevelopmental outcome
| The first 150 words of the full text of this article appear below. |
Infants with subdural haematoma constitute a medical emergency, but they also immediately trigger thoughts of possible inflicted injury. Two articles in this issue highlight once again the incidence, aetiology, and neuroimaging of infantile subdural haematomas/effusions (SDH/E).
Hobbs et al report an incidence of subdural haematoma/effusion in infancy from all causes of 24.1 per 100 000 children less than 12 months of age (and 12.54 per 100 000 aged 0–2) in the largest UK study to date.1 Cases of SDH/E diagnosed on brain imaging or at postmortem examination were reported to the BPSU, through the monthly reporting card system, over a 12 month period (April 1998–March 1999) from all specialists likely to have contact with infantile subdural haematoma/effusion. Because a subdural haematoma/effusion is a dynamic pathology and can be due to trauma or infection etc, the authors have very appropriately defined case entry as any child under 2 years with
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- Neuroradiological aspects of subdural haemorrhages
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