Ping pong fractures

Case contributed by Dr Yair Glick

Presentation

Traumatic delivery, growing head circumference.

Patient Data

Age: 0 days
CT

Two right parietal subdural hematomas not causing significant mass effect.
Parietal ping pong fracture on each side, right larger than left.
Subgaleal hematoma - left frontal, biparietal, occipital.

Case Discussion

Vacuum and forceps delivery resulting in two ping pong fractures, one on each side, two subdural hematomas on the right, and a sizable subgaleal hematoma.

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