Paediatric ceiling fan-induced head injury

Case contributed by Dr Chris O'Donnell

Presentation

Child held up by an adult and struck on the head by a ceiling fan. Large scalp laceration.

Patient Data

Age: 12-month-old
Gender: Female
CT

CT Brain (selected images)

Depressed curvilinear skull vault fracture with an underlying linear haemorrhagic contusion of the brain. Note disruption of overlying scalp

Case Discussion

This injury is uncommon but typically occurs in tropical locations where electric ceiling fans are common. Children are usually affected. There are 3 common scenarios i.e. child held up by an adult, children on bunk beds and children jumping off furniture. Given the relative softness of paediatric skulls, the injury can be severe with disruption of scalp and linear or curvilnear depression fracture of the skull vault requiring elevation. In this case there is also haemorrhagic contusion of underlying cerebrum.

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Case information

rID: 41907
Case created: 26th Dec 2015
Last edited: 26th Dec 2015
Inclusion in quiz mode: Included

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