Non-accidental injury - bilateral subdural with acute blood

Case contributed by Dr Jeremy Jones

Presentation

Small child presented after "rolling off a bed and onto the floor". The history was not consistent with the age of the child.

Clinical suspicion was of non-accidental injury and a CT scan performed to exclude intracranial injury confirmed bilateral subdural hemorrhage.

Case Discussion

Clinical suspicion of non-accidental injury. CT scan performed as part of a full skeletal survey and child protection review. CT confirms subdural collections containing mixed density material. The high-density material is acute blood. Blood remains dense for up to 2 weeks when it is generally accepted that the vast majority of blood will have reduced in density to that approaching parenchyma.

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Case information

rID: 10236
Published: 24th Jul 2010
Last edited: 10th Sep 2019
Tag: nai
Inclusion in quiz mode: Included

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