Abusive head trauma
Citation, DOI and case data
Apart from vomiting and seizure, no other specific history was provided by the patient's care takers nor the referral physician.
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Acute subdural hematoma along the left cerebral hemisphere extending along the falx with a maximum thickness of 9 mm.
Acute intraparenchymal hematoma in the left parietal lobe measuring 15x20x22 cm.
Diffuse hypo-attenuation of the left cerebral hemisphere with altered grey-white matter differentiation and effacement of cerebellar sulci, left lateral ventricle and midline shift of approximately 4mm towards the right side representing acute ischemic changes/edema.
Mild dilatation of right lateral ventricle.
No fracture of skull bones.
The constellation of imaging findings in this case are most suggestive of abusive head trauma (non-accidental brain injury), particularly with no relevant history provided by the carers. The carers were questioned but denied any involvement.
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