Presentation
Fall from height.
Patient Data
Age: 4 months
Gender: Female
From the case:
Skull fracture - infant
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Nondisplaced vertical left parietal fracture.
Scalp hematoma overlying the left parietal bone.
Enlarged bifrontal subarachnoid space and sylvian cisterns, most probably representing benign enlargement of subarachnoid spaces (BESS).
Small Wormian bones at the delta and along the lambdoid suture.
Case Discussion
Fell out of a carry-cot it from a low height, bumped her head, and sustained a nondisplaced left parietal fracture.
There are two things to consider here:
- despite the telltale scalp hematoma in this case, nondisplaced skull fractures in infants can readily be missed due to the abundance of sutures. A 3D rendering of the skull can increase diagnostic confidence 1.
- one should keep in mind that if the fracture involves a venous sinus, it can predispose to venous sinus thrombosis 2,3.
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