Infant traumatic brain injury with a biphasic clinical course and late diffusion restriction: a case report

Shunwu Xiao
Traumatic brain injury (TBI) in young children can rarely exhibit a biphasic clinical course with delayed neurological deterioration. We report a 2-year-old boy who fell from 50 cm and briefly lost consciousness with vomiting, initially found to have a right frontotemporoparietal acute subdural hematoma (SDH) with midline shift but no brain contusions. After transient stabilization, he developed new left-sided limb weakness and status epilepticus on day 3 post-injury. Follow-up diffusion-weighte