Citation

Kojima K, Nimtz J, Martin SW, Guertin SR, Cavenagh EC. J. Radiol. Case Rep. 2017; 11(7): 8-13.

Affiliation

Department of Radiology, College of Human Medicine, Michigan State University, East Lansing, USA.

Copyright

(Copyright © 2017, Journal of radiology case reports)

DOI

10.3941/jrcr.v11i7.2905

PMID

29299097

PMCID

PMC5743150

Abstract

We report a case of nonaccidental trauma (NAT) involving a 23-month-old boy who presented with seizures, acute subarachnoid hemorrhage, and acute subdural hemorrhage. Ophthalmologic examination showed bilateral intraretinal hemorrhages. Further evaluation revealed that he had bilateral thoracolumbar paravertebral calcifications. The Children's Protective Services agency was involved in the case. The child was discharged to an inpatient rehabilitation facility. Vertebral fracture associated with paravertebral calcification has been reported as a sign of NAT. This case was unique because our patient had paravertebral calcifications without vertebral fracture. Paravertebral calcification alone could serve as an indicator of NAT.

Language: en

Keywords

child abuse; paravertebral calcification; seizure; subarachnoid hemorrhage; subdural hemorrhage