Results of nonoperative treatment in 15 cases of infantile subdural hematoma

Abstract

✓ A group of 15 patients who had posttraumatic subdural effusion in infancy were treated by subdural tapping alone. Taps were performed only in response indicates intracranial hypertension. Subsequent psychometric testing indicates that the results compare favorably with those of previously reported series. The rationale for this method of management is discussed. The authors conclude that in most instances subdural hematomas can be successfully treated by tapping alone, and that complete evacuation of subdural fluid is not essential, although more extensive surgical procedures may occasionally be necessary when intracranial hypertension persists despite repeated tapping.