Bilateral subdural hemorrhage 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 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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Case information

rID: 26058
Published: 26th Nov 2013
Last edited: 15th May 2019
Inclusion in quiz mode: Included

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