Child With Terrible Vomiting. Had A Intestinal Blockage And Swollen Lymph Nodes In Abdomen. Done MRI And CT Scan
It appears to be subdue all hematoma
Detailed Answer:
Hi,
Thank you for posting your query.
I have gone through the details of your grandson. It appears to be a case of subdural hematoma (SDH) due to trivial trauma. I agree with you that it is difficult to tell with certainty, but abuse seems unlikely, as there are no external injury marks.
Generally, SDH is monophasic illness, and does not repeat again. Also, very small babies withstand pressure in the brain due to SDH a lot, as the skull bones have not fused, and so, the signs such as vomiting, decreased consciousness, etc may be absent.
So, there is no need to worry at present about the diagnosis, and also the future risk of recurrence of something similar.
I hope it helps. Please get back if you have any more queries.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
My reply is below
Detailed Answer:
Thank you for getting back.
By trivial trauma, I mean accidental hitting on the wall or falling on the floor.
Abuse is unlikely as children with abuse tend to have multiple injuries including fractures, soft tissue with external bruises in addition to head injury, which are not there in this case.
Dr Sudhir Kumar MD DM (Neurology)
Could be due to injury or bleeding disorder
Detailed Answer:
Thank you for getting back.
The injury related cause has been discussed.
In addition, we need to exclude a bleeding disorder that can cause both SDH and retinal hemorrhage. Common bleeding disorders are due to low platelet count, platelet dysfunction, low vitamin K, etc. A hematologist can help in that.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)