BACKGROUND AND PURPOSE Although skull fractures are generally assessed on bone images obtained by using head CT, the combined multikernel technique that enables evaluation of both brain and bone through a change in the window settings of an image set has been reported. The purpose of this retrospective study was to determine the image quality required for the accurate assessment of skull fractu...

Elevated fractures of the skull, which are rarely reported in the literature, are always compound, have maximal neurological deficits at presentation and have been reported only in adults. We report two cases of elevated skull fractures in the pediatric age group, one of which was a simple elevated fracture and presented with delayed neurological deterioration. The etiologies were a fall in fir...

OBJECTIVE To determine the occurrence of bruising near the site of fracture in a group of children with inflicted fractures. DESIGN Case series. SETTING Two children's hospitals. PARTICIPANTS Suspected child abuse victims with fractures. MAIN OUTCOME MEASURE The presence of bruising and fracture in a single body region or appendage. RESULTS The study included 192 children with inflict...

BACKGROUND Blunt head trauma is a common reason for medical evaluation in the pediatric Emergency Department (ED). The diagnostic work-up for skull fracture, as well as for traumatic brain injury, often involves computed tomography (CT) scanning, which may require sedation and exposes children to often-unnecessary ionizing radiation. OBJECTIVES Our objective was to determine if bedside ED ult...

Eighty-eight sets of skull X-rays, each showing an unequivocal skull fracture, were examined by a radiologist under controlled conditions to see if fractures would be missed if only one lateral view was included in the X-ray series. The fracture sets were mixed at random with four times as many normal sets of skull X-rays and each fracture set was examined on two occasions, once with one latera...

We report a rare case of intracerebral pneumocephalus. It was not accompanied by the typical craniofacial skull base fracture. A 77-year-old woman presented with pneumocephalus following a pedestrian traffic accident. Neurologic and physical examination revealed multiple extensive emphysemas, multiple rib fractures, and lung contusions, but no facial or skull bone fractures. Computed tomography...

RESULTS: Of the 24 patients identified, 75% were male, mean age was 8.6, mean ISS 23.7 and mean GCS 9.7. The two most common causes of these fractures patterns were MVA (67%) and pedestrian (25%). 60% were managed operatively. 58% patients had skull fractures, 45.8% intracranial trauma, and 17% developed meningitis. One patient had a C-Spine injury. Group 1 had 8, group 2 had 4 and group 3 had ...

RESULTS: Of the 24 patients identified, 75% were male, mean age was 8.6, mean ISS 23.7 and mean GCS 9.7. The two most common causes of these fractures patterns were MVA (67%) and pedestrian (25%). 60% were managed operatively. 58% patients had skull fractures, 45.8% intracranial trauma, and 17% developed meningitis. One patient had a C-Spine injury. Group 1 had 8, group 2 had 4 and group 3 had ...

Oblique basal skull fractures resulting from lateral crushing injuries involving both clivus and occipital condyle are rare due to their deep locations. Furthermore, these fractures may present clinically with multiple cranial nerve injuries because neural exit routes are restricted in this intricate region. The authors present an interesting case of basal skull fractures involving the clivus a...

We describe a case of severe traumatic brain injury with multiple facial and skull fractures where CT angiogram (CTA) failed to yield a definite result of brain death as an ancillary test. A 28-year-old man was admitted following a road traffic accident with a Glasgow Coma Score (GCS) of 3/15 and fixed pupils. CT brain revealed uncal herniation and diffuse cerebral oedema with associated multip...