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    Go to the top of the page   ID: 20031122115033 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    | The Authors | Discussion | Write a Comment to this Case |
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    Cranial fracture - parietal
    Dirk Schaper. Cranial fracture - parietal. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122115033


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper (Halle[Kinderchirurgie St. Barbara-Krankenhaus])  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    3 Months  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    Head-Bones  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory:

    3 month old baby, fall from table, no loss of consciousness, acute vomiting, increased swelling left parietal, neurological unsuspicious  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Soft line of opacity in the right parietal bone.




    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: B-image presentation of an interuption of continuity in a otherwise homogenous image of the bone structure.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: B-image of an obvious fracture.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    normal cranial sutures, diploic veins, accessory suture.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Because of the nature of the accident, the assumption of a suture fracture was made. Radiologically, the diagnosis was proven using ultrasound. After initial hospitalisation and surveillance, the child was discharged into ambulatory care.  

     
     Pediatric Radiology CasesComments of the author about the case:

    Note from the author:
    The presentation of the cranial fractures with the help of high-resolution ultrasound is always better. Furthermore, the intracranial structures can be assessed if the fontanelles are open. This is particularly important in regard to an accompanying intracranial hemorrhage. It is possible that in the future one can completely disregard a conventional x-ray.

    Note from the editors:
    The proof of a cranial fracture has per se no clinical worth, rather the proof of an intracerebral hemorrhage is most important. Therefore, a conventional x-ray is not needed in a case of a cranial trauma. This is because no therapeutic decisions are dependent on the proof (or missing proof) of a fracture.

    The ultrasound: Seeing the fracture on the x-ray is almost always seen in the ultrasound as well; however the reverse (searching for fractures without an x-ray image) is often frustrating and often painful. In our opinion, sonography is not indicated in searching for fractures, but rather needed for ruling out a hemorrhage when the fontanelle is open.

    Comments to both notes are welcomed.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Steiner S, Riebel T, Nazarenko O, Bassir C, Steger W, Vogl T, Felix R.
    Skull injury in childhood: comparison of ultrasonography with conventional X-rays and computerized tomography
    Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. 1996 Oct;165(4):353-8

    2. Medline: Medline
    Decarie JC, Mercier C.
    The role of ultrasonography in imaging of paediatric head trauma.
    Childs Nerv Syst. 1999 Nov;15(11-12):740-2  

     
     Pediatric Radiology CasesKeywords:

    cranial fracture, parietal cranial fracture, head injury, head trauma, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper. Cranial fracture - parietal. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122115033  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Head-Bones
    or in the region: Head
    or in the tissue/organ: Bones
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are Ultrasound-images available for this case. [ Ultrasound ] View all modalities [ All ]   
     
    Cranial fracture - parietal
    Dirk Schaper. Cranial fracture - parietal. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122115033


     

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    Cranial fracture - parietal
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   

    Cranial fracture - parietal  
     
    Cranial fracture - parietal
    Dirk Schaper. Cranial fracture - parietal. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122115033


     

    Which diagnosis have other collegues guessed?


    • Cranial fracture
      Votes: 3 (42 %)


    • Normal cranial suture
      Votes: 2 (28 %)


    • Diploic veins
      Votes: 1 (14 %)


    • Accessory suture
      Votes: 1 (14 %)



        Total answers: 7

     
    Cranial fracture - parietal
    Dirk Schaper. Cranial fracture - parietal. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122115033


     

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    Cranial fracture - parietal
    Dirk Schaper. Cranial fracture - parietal. PedRad [serial online] vol 3, no. 11.
    URL: www.PedRad.info/?search=20031122115033


     




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