Parietal pseudofracture and spontaneous intracranial hemorrhage suggesting nonaccidental trauma: report of 2 cases.
Massive intracranial hemorrhage, no history of trauma and radiographic findings that were initially interpreted as linear parietal fractures raised the possibility of nonaccidental trauma in 2 infants. Both had severe coagulopathy, 1 due to hemorrhagic disease of the newborn (vitamin K deficiency) and the other due to disseminated herpes simplex virus infection. Both infants died. At autopsy, the parietal bone abnormalities were not fractures, but proved to be an anomalous suture in 1 and a connective tissue fissure in the other.
Fenton
L Z
LZ
Department of Radiology, Children's Hospital, Denver, CO 80218, USA. fenton.laura@tchden.org
Sirotnak
A P
AP
Handler
M H
MH
D001344:Autopsy; D002649:Child Abuse / Q000175:diagnosis*; D003238:Connective Tissue / Q000002:abnormalities*; D003937:Diagnosis, Differential; D004200:Diseases in Twins; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D017809:Fatal Outcome; D005260:Female; D006561:Herpes Simplex / Q000150:complications; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D020300:Intracranial Hemorrhages / Q000209:etiology*; D008297:Male; D010294:Parietal Bone / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography; D012887:Skull Fractures / Q000000981:diagnostic imaging*; D014813:Vitamin K Deficiency / Q000150:complications