POSTINFANTILE CORTICAL HYPEROSTOSIS WITH SUBDURAL HEMATOMA

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Abstract
The coexistence of postinfantile hyperostosis and subdural hematoma, an association hitherto unreported, it described in a child 29 months old and a brief review of the 32 previously reported cases of infantile and postinfantile cortical hyperostosis is presented. The cause of the syndrome is not known but hereditary, infectious, traumatic, allergic and hematologic factors have been considered. Hypervitaminosis A appears to be a definite etiologic possibility in the postinfantile form. Hyperirritability, fever and anemia with leukocytosis are the outstanding clinical manifestations; characteristic shadows of external thickenings of the corticallis of the bones are pathognomonic. Since the course of the disease is self-limited, treatment is directed toward symptomatic relief and reduction of intake of vitamin A when it has been excessive.

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