Infantile traumatic subdural hematomas:: Outcome after five years

Objective: Although subdural hematomas (SDH) are common in infants, their long-term outcome is poorly documented in the literature. Methods: Infants operated for SDH were followed prospectively and evaluated during their sixth year with systematic neurological evaluation and standard neuropsychological testing. Results: We studied 48 infants operated for SIDH. At the last checkup, 39 were normal, 5 had mild deficits, 3 had severe deficits and 1 was in a vegetative state. IQ measurements did not differ significantly from normal values, but did not accurately reflect the outcome. The only independent factor significantly affecting the final outcome was initial clinical severity. Age at surgery, surgical complications and the nature of the trauma (inflicted or accidental) did not independently influence the outcome. Conclusion: Long-term follow-up is required after treatment of SIDH, to evaluate the child's changing needs in terms of medical and educational care. Copyright (C) 2003 S. Karger AG, Basel.