title: Subdural hematomas and emergency management in infancy and childhood: a single institution's experience.
abstract: OBJECTIVE
  We aimed to identify the incidence, clinical features, management, and outcome of subdural hematomas (SHs) in infancy and childhood.
  
  
  METHODS
  Twenty-one children younger than 11 years with SH were analyzed. Clinical features and possible child abuse were considered in each case.
  
  
  RESULTS
  Eight children experienced minor injuries due to hitting of solid items on their head. Five of these children also had coagulation disorders. Three of the children suffered from child abuse, only one of the children had head trauma due to car accident. Nine of the patients experienced SH due to fall down. Nine patients have acute SH, 7 had subacute SH, 4 had chronic SH, and 1 had acute and subacute SH together. Clinical presentation varied greatly. Most of them presented with vomiting and seizure. The outcome patterns were different among the patients. Deep coma on admission was associated with an unfavorable outcome.
  
  
  CONCLUSIONS
  Subdural hematoma is common in infancy and childhood and carries a poor prognosis. Most of the cases are due to head trauma, coagulation disorders, and child abuse. We believe that clinical investigation of such children should be carried out in a multidisciplinary approach with the collaboration of pediatricians, social workers, and neurosurgeons.
authors: Maraşal Fevzi Çakmak Military Hospital, Erzurum, Turkey.
authors: Ozkan
authors: O
authors: Tehli
authors: Burak
authors: B
authors: Kazanci
authors: Erhan
authors: E
authors: Türkoğlu
authors: Ilker
authors: I
authors: Solmaz
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D002648:Child; D002649:Child Abuse / Q000706:statistics & numerical data; D002675:Child, Preschool; D003128:Coma / Q000209:etiology / Q000401:mortality; D006259:Craniocerebral Trauma / Q000453:epidemiology; D003399:Craniotomy / Q000706:statistics & numerical data; D057210:Delayed Diagnosis; D004630:Emergencies; D005260:Female; D006402:Hematologic Diseases / Q000150:complications / Q000453:epidemiology; D020199:Hematoma, Subdural, Acute / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D020200:Hematoma, Subdural, Chronic / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery; D046648:Hematoma, Subdural, Intracranial / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery; D006474:Hemorrhagic Disorders / Q000150:complications / Q000453:epidemiology; D006772:Hospitals, Military / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D012189:Retrospective Studies; D038642:Shaken Baby Syndrome / Q000453:epidemiology; D014207:Trephining / Q000706:statistics & numerical data; D014421:Turkey / Q000453:epidemiology