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Pediatrics General a1ba4493

CT scan of a child brought with CNS pathology shows subdural effusion. Which of the following condition give rise to subdural effusion in children?

A
Tuberculous meningitis
B
Trauma
C
Bacterial meningitis
D
Viral encephalitis
High-Yield Explanation
Subdural effusions occur in as many as 50% of young children with S pneumoniae meningitis. Persistent focal seizures or focal seizures associated with focal neurologic deficits strongly suggest subdural effusion, abscess, or vascular lesions such as aerial infarct, coical venous infarcts, or dural sinus thrombosis. Subdural effusions are often seen on CT scans of the head during the course of meningitis. They do not require treatment unless they are producing increased intracranial pressure or progressive mass effect. Ref: Bernard T.J., Knupp K., Yang M.L., Kedia S., Levisohn P.M., Moe P.G. (2012). Chapter 25. Neurologic & Muscular Disorders. In W.W. Hay, Jr., M.J. Levin, R.R. Deterding, J.J. Ross, J.M. Sondheimer (Eds), CURRENT Diagnosis & Treatment: Pediatrics, 21e.

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