Presentation
Head injury with large boggy parietal swelling.
Patient Data
Large left parietal skull fracture in the coronal plane with associated subgaleal hematoma and bilateral subdural hematoma (greatest under the fracture).
Bilateral subdural hemorrhage, 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 hemorrhage.
Case Discussion
Head injury with burising, large subgaleal hematoma, parietal skull fracture, bilateral subdural hemorrhage, cortical diffusion restriction and punctate hemorrhage. Features are very concerning for non-accidental injury in the absence of a clotting disorder and appropriate history.
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