title: Idiopathic bilateral chronic subdural hematoma with left internal carotid artery infarct in a 3 months infant: A rare case report.
abstract: 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.
authors.affiliation: Department of Neurosurgery, Command Hospital (SC), Wanwadi, Pune, Maharashtra, India.
authors.forename: Mahesh
authors.initials: M
authors.lastname: Kumar
authors.affiliation: Department of Neurosurgery, Command Hospital (SC), Wanwadi, Pune, Maharashtra, India.
authors.forename: Krishan
authors.initials: K
authors.lastname: Yadav
authors.affiliation: Department of Neurosurgery, Command Hospital (SC), Wanwadi, Pune, Maharashtra, India.
authors.forename: Saurabh Kumar
authors.initials: SK
authors.lastname: Verma
authors.affiliation: Department of Neurosurgery, Command Hospital (SC), Wanwadi, Pune, Maharashtra, India.
authors.forename: Vikas
authors.initials: V
authors.lastname: Maheshwari
keywords: Burr hole; chronic subdural hematoma; focal seizures