TY - JOUR PY - 2009// TI - Isolated cerebral cortical tears in children: aetiology, characterization and differentiation from non-accidental head injury JO - British journal of radiology A1 - Au-Yong, I. T. H. A1 - Wardle, S. P. A1 - McConachie, N. S. A1 - Jaspan, Tim SP - 735 EP - 741 VL - 82 IS - 981 N2 - A wide spectrum of intracranial injuries has been described as complicating difficult birth, particularly following instrumental delivery. We describe five children in whom isolated cortical tears were observed on MRI. Four cases were characterised by a difficult instrumental delivery. None of the children developed long-term neurological sequela. As far as we are aware, isolated cerebral cortical tears have not been reported previously although recognition of this injury pattern is important because of its possible misinterpretation as a marker of a non-accidental head injury. Other differential diagnoses that should be considered include cerebral infarcts, schizencephaly and accidental head injury. The importance of high-quality cross-sectional brain imaging in newborn infants with seizures is emphasised.
Language: en
LA - en SN - 0007-1285 UR - http://dx.doi.org/10.1259/bjr/81603888 ID - ref1 ER -