Evidence map›Paper›PMID 41203991›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2025

Acute ventriculomegaly and gaze deviation after evacuation of subdural hematoma: report of an unusual case.

Talia Mia Bitonti, Kaylea Noel MacDonald, Debajoyti Datta, Albert Tu

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Talia Mia BitontiDepartment of Critical Care, University of Ottawa, The Ottawa Hospital, Ottawa, ON, Canada. taliabitonti@outlook.com.
Kaylea Noel MacDonaldDepartment of Neurosurgery, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada.
Debajoyti DattaDepartment of Neurosurgery, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada.
Albert TuDepartment of Neurosurgery, Children's Hospital of Eastern Ontario, University of Ottawa, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Subdural hematomas (SDHs) in infants present diagnostic challenges due to their diverse aetiologies ranging from non-accidental injury to metabolic or coagulopathic disorders. Clinical presentation includes vomiting, irritability, and bulging fontanelles. There are multiple surgical and non-surgical options available for management aimed at relieving mass effect. We report the unusual development of acute ventriculomegaly and downward gaze palsy in a clinically well 9-week-old boy following evacuation of bilateral subacute subdural hematomas. Neuroimaging revealed ventricular enlargement without other overt clinical features of hydrocephalus, and the symptoms resolved without CSF diversion. We hypothesize that the ventriculomegaly and downward gaze deviation were caused by altered CSF pressure gradient due to communication between the subarachnoid, subdural, and subgaleal spaces.

Indexed as

Hematoma, SubduralHydrocephalusOcular Motility DisordersPostoperative ComplicationsHumansInfantMaleGaze deviationHydrocephalusMacrocephalyNeuroimagingSubdural hematomaVentriculomegaly

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.