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April 1968

Traumatic Subdural Hematoma of Infancy: Long-Term Follow-up of 92 Patients

Author Affiliations

From the departments of neurosurgery, Metropolitan General Hospital, and the School of Medicine, Case-Western Reserve University, Cleveland (Drs. Yashon, Jane, and White); the College of Medicine, University of Illinois, Chicago (Dr. Sugar).

Arch Neurol. 1968;18(4):370-377. doi:10.1001/archneur.1968.00470340056005

SUBDURAL fluid collections in infancy can be separated into effusions secondary to an infectious meningitis and hematoma or hydroma as a result of trauma. This distinction is sometimes difficult to make on clinical grounds since, in some instances, meningitis may go undetected and often there is no obvious history of trauma. In this paper, attention is totally restricted to those cases in which trauma is the presumed cause. Henceforth, these cases will be referred to as subdural hematoma of infancy.1,2 This paper will consider the question of prognosis in relation to early clinical state because there is a divergence of opinion in the literature as to final outcome.3-5 All cases in which there have been any question of a preexisting central nervous system infection have been excluded because the clinical manifestations may be similar but the pathogenesis and biology of the diseases are different and the prognosis,

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