Presentation
Unresponsive infant
Patient Data
Age: 2 months
Gender: Unknown
From the case:
Infantile head trauma with orbital roof fracture
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Right parietal scalp swelling. Complex fractures of the right and left parietal bones. Bilateral vertex subdural hemorrhage. Loss of supratentorial gray/white differentiation. Right orbital roof fracture.
Bone window view of the right orbital roof fracture, right and left parietal fractures.
Case Discussion
History: 2-month-old, former 33 week premature with no neonatal complications.
Exam: unresponsive, boggy right parietal scalp
Skeletal survey: (not shown) bilateral healing rib fractures
Tragically this child died from malignant brain swelling after 4 days in the hospital. The right orbital fracture was found at autopsy. The presumed diagnosis was abusive head trauma.
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