Abstract
Introduction: An accumulation of Cerebrospinal fluid in subdural spaces is known as subdural hygroma. It is encountered in all age-groups but overall, most common in elderly. The exact pathogenesis of Subdural Hygroma is still unclear.
 Presentation of Case: A 03 months old female child was brought to Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha, Maharashtra, India on date 02/10/2020 with the complaints of breathing difficulty, elevated body temperature, excessive enlargement of head with bulged and tense fontanel, high pitch shrill cry, restlessness, nausea and vomiting. On physical examination, it is found that head circumference was 44 cm, head size was enlarged, bulged anterior fontanel, angular cheilitis, pale conjunctiva as well as peripheral cyanosis were present. The child was diagnosed at birth and child was brought to Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha for surgical management of subdural hygroma.
 Intervention: The treatment of patients was started immediately after admission.Burr-Hole Evacuation was done on 4th October 2020 and the patient was discharged on 08th October 2020. 
 Conclusion: In this report, we mainly focus on expert surgical management and excellent nursing care helped in managing the complicated case very nicely. The patient response was positive to conservative and nursing management. The patient was discharged without postoperative complications and satisfactory with recovery.
Highlights
INTRODUCTIONSubdural hygroma is a collection of cerebrospinal fluid that in subdural spaces that can occur in the postnatal period as consequences of either a traumatic rupture of arachnoid membrane with cerebrospinal fluid leakage in the subdural space or disturbance of cerebrospinal fluid circulation [1]
An accumulation of Cerebrospinal fluid in subdural spaces is known as subdural hygroma
The head trauma, infections and spinal procedures are the most prevalent causes of subdural hygroma, which can occur in combination with brain atrophy, severe dehydration, excessive spinal leaking, or any other condition that causes a decrease in intracranial pressure [3]
Summary
Subdural hygroma is a collection of cerebrospinal fluid that in subdural spaces that can occur in the postnatal period as consequences of either a traumatic rupture of arachnoid membrane with cerebrospinal fluid leakage in the subdural space or disturbance of cerebrospinal fluid circulation [1]. The subdural hygroma was first introduced by Rudolph Virchow in 1856. Subdural hygromas pathophysiology is not fully known. The most typical explanation is a rip in the arachnoid layer that creates a ball-valve aperture that allows CSF to flow one way into the subdural area. This explanation is simple, it may not necessarily represent an accurate representation of the underlying mechanisms. There is as yet no accurate report to date on the incidence of subdural hygroma in infants [5]. We report a case of 03 months old female child with subdural hygroma
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