title: Atypical accessory intraparietal sutures mimicking complex fractures in a neonate.
abstract: Partial or complete division of the parietal bones resulting in anomalous cranial sutures is a rare entity and may raise concern for fracture and potential abuse when identified on radiological examination in young children. We present a case of a 4-week-old male found to have anomalous intraparietal sutures originally interpreted as fractures during a comprehensive evaluation for nonaccidental trauma. Our goal is to raise awareness of a complex branching pattern of accessory intraparietal sutures, which has not been previously described. Additionally, we will review the characteristics that aid in the radiologic differentiation of accessory cranial sutures and fractures.
authors.affiliation: Department of Radiology and Radiological Science, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 323, Suite 210, Charleston, SC, 29425. Electronic address: eklundm@musc.edu.
authors.forename: Meryle J
authors.initials: MJ
authors.lastname: Eklund
authors.affiliation: College of Medicine, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 617, Suite 601, Charleston, SC, 29425.
authors.forename: Keith C
authors.initials: KC
authors.lastname: Carver
authors.affiliation: Department of Radiology and Radiological Science, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 323, Suite 210, Charleston, SC, 29425.
authors.forename: Seth T
authors.initials: ST
authors.lastname: Stalcup
authors.affiliation: Department of Pathology and Laboratory Medicine, Medical University of South Carolina, 171 Ashley Avenue, MSC 908, Charleston, SC, 29425.
authors.forename: Ellen C
authors.initials: EC
authors.lastname: Riemer
authors.affiliation: Department of Pediatrics, Medical University of South Carolina, 135 Rutledge Avenue, Charleston, SC, 29464.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Taylor
authors.affiliation: Department of Radiology and Radiological Science, Medical University of South Carolina, 96 Jonathan Lucas Street, MSC 323, Suite 210, Charleston, SC, 29425.
authors.forename: Jeanne G
authors.initials: JG
authors.lastname: Hill
mesh_terms: D002649:Child Abuse; D003393:Cranial Sutures / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D050723:Fractures, Bone; D006801:Humans; D021621:Imaging, Three-Dimensional; D007231:Infant, Newborn; D008297:Male; D014057:Tomography, X-Ray Computed
keywords: Accessory cranial sutures; Child abuse; Intraparietal sutures; Nonaccidental trauma