TY - JOUR PY - 2021// TI - Infantile acute subdural hemorrhage probably caused by injury to the diploic channels JO - Radiology case reports A1 - Makino, Kensaku A1 - Tsutsumi, Satoshi A1 - Takaki, Yuki A1 - Nonaka, Senshu A1 - Okura, Hidehiro A1 - Ishii, Hisato SP - 2981 EP - 2983 VL - 16 IS - 10 N2 - A 6-month-old, previously healthy boy hit the right frontal region of his head against the corner of a plastic toy box. At presentation, a small area with scalp discoloration was noted in the right frontal region. Head computed tomography at the level of discoloration revealed an intracranial hematoma, 5 mm in maximal thickness, below the coronal suture. In addition, there were bony bridges connecting the frontal and parietal bones. Furthermore, a linear crack was found in the diploe of the frontal bone in contact with the coronal suture. Cerebral MRI confirmed linear hyperintensity between the inner tables. We assumed that a kind of ping-pong ball fracture was caused by the head blow, centering on the coronal suture, resulting in rupture of contacting diploic channels and tear of the dura mater, and forming a subdural hematoma. Acute subdural hemorrhage may be caused by an insignificant blow to the coronal suture in infantile patients with underdeveloped cranial bones and sutures, accompanied by subtle external findings.

Language: en

LA - en SN - 1930-0433 UR - http://dx.doi.org/10.1016/j.radcr.2021.07.023 ID - ref1 ER -