Abstract
We read with interest the Perinatal/Neonatal Case Presentation involving a 3-month-old infant with new onset seizures who reportedly was discovered to have a chronic subdural hematoma (CSDH)1 after having ‘new onset partial complex seizures’. The infant, a dichorionic–dizygotic twin (twin A), was noted to have a large head circumference and bulging fontanelle. The infant was noted to have retinal hemorrhages and had his CSDH drained of ‘xanthochromic fluid with some fresh blood’, which was ‘under very high pressure’. The author concluded that the infant's intracranial findings were the result of an in utero ‘process’ as opposed to a postnatal traumatic event. Although the case presented is intriguing, we have concerns about the case vignette and the interpretation of the data presented that make it difficult for us to draw any meaningful conclusions.
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