Cortical laminar necrosis due to traumatic brain injury in an infant

Case contributed by Dr Hidayatullah Hamidi

Presentation

history of head trauma 4 days back. The patient is unconscious for last 2 days.

Patient Data

Age: 5 months
Gender: Male

Fractures of left parietal and right frontal bones.

No significant acute intracranial hemorrhage.

Marked subdural hygroma surrounding anterior aspects of both cerebral hemispheres.

The cerebrum appears swollen with evidence of cortical hyperdensity over both cerebral convexities.

No sign of hydrocephalus.

The interhemispheric fissure is centered on the medline.

Case Discussion

The clinical presentation and imaging features are more in favor of cortical laminar necrosis.

Marked subdural hygroma surrounding anterior aspects of both cerebral hemispheres. These can be seen in benign enlargement of subarachnoid spaces in infancy as well as in brain atrophy. Clinical correlation/follow up is needed.

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Case information

rID: 63627
Published: 11th Oct 2018
Last edited: 11th Oct 2018
Inclusion in quiz mode: Included

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