[Subdural hematoma in infants. Indications and results of external subdural derivation].
20 infants presenting with a chronic subdural hematoma (S.D.H.) including 15 boys and 5 girls from 1.5 to 16 months (mean age 6.3 months) were treated by tapping (1 case) or irrigation through burr-holes (2 cases) or external drainage (17 cases). The drainage was performed on both sides when the S.D.H. was bilateral (13 cases). Results were analyzed clinically and by C.T. scan. No sequela was noted in 10 cases while in 10 others persisted some neurological (5 cases) or psychomotor (4 cases) impairment or an epileptic status (1 case). In all but one case, the S.D.H. disappeared completely on C.T. scan controls. Therefore, in case of acute S.D.H., we consider that simple therapeutic methods, if early realized, are generally sufficient.
Maheut
J
J
Service de Neurochirurgie Infantile, Hôpital Gatien de Clocheville, Tours.
Barthez
M A
MA
Billard
C
C
Rondeau
C
C
Santini
J J
JJ
D004322:Drainage / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006408:Hematoma, Subdural / Q000150:complications / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D013997:Time Factors
L'hématome sous-dural du nourrisson. Indications et résultats de la dérivation sous-durale externe.