Bilateral subdural haemorrhage and parietal skull fracture

Case contributed by Dr Jeremy Jones

Presentation

Head injury with large boggy parietal swelling.

Patient Data

Age: 4 weeks
Gender: Male

Large left parietal skull fracture in the coronal plane with associated subgaleal haematoma and bilateral subdural haematoma (greatest under the fracture).

Bilateral subdural haemorrhage, greatest at the vertex on the left with multifocal cortical and grey-white junction diffusion restriction.  Multifocal frontal and occipital punctate susceptibility artefact consistent with multifocal punctate haemorrhage.

Case Discussion

Head injury with burising, large subgaleal haematoma, parietal skull fracture, bilateral subdural haemorrhage, cortical diffusion restriction and punctate haemorrhage. Features are very concerning for non-accidental injury in the absence of a clotting disorder and appropriate history.

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Case Information

rID: 26058
Case created: 26th Nov 2013
Last edited: 7th Aug 2016
Inclusion in quiz mode: Included

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