Case: Subdural Effusion with ARI

Imtiaz Mahmud, age 4 yrs from Chittagong presented with respiratory distress, cough, bulging fontanelle, fever and vomiting of 2 – 3 days duration.

His birth history is normal; he is breast fed, immunized with normal milestone and from a low socioeconomic group.He has no definite history of head injury.

On examination,his fontanelle was found wide and budged, OFC- 43cm.
Heart rate 100/m, temp-102, respiration 40/m, Lungs –creps and rhonchi, no papilloedema.

On investigation, peripheral blood picture was normal, MP negative, CSF- normal, ICT for malaria – negative, Urine R/E normal, a repeatt CSF also shows normal finding. US of the brain–shows mild hydrocephalus.

CT scan – shows subdural effusion.

The patient is labeled as Subdural Effusion with ARI.

No precipitating factor was identified

Our surgical colleague Dr. Jafrul Hannan was consulted. He preferred not to intervene.

The patient gradually improved.


Dr. Badrud Doza,
Dr. Saiful,
Dr. Fahim