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Multiple growing fractures and cerebral venous anomaly after penetrating injuries: delayed diagnosis in a battered

S Makkat1, J E Vandevenne, P M Parizel

  • 1Department of Radiology, Universitair Ziekenhuis Antwerpen, Wilrijkstraat 10, 2650 Edegem, Antwerp, Belgium.

Pediatric Radiology
|May 26, 2001
PubMed

Insights

Child abuse can cause penetrating head trauma, leading to growing skull fractures and venous anomalies. Early diagnosis with MRI is crucial for identifying associated brain lesions in these cases.

Area of Science:

  • Pediatric Radiology
  • Neurotrauma
  • Child Abuse Forensics

Background:

  • Growing skull fractures typically arise from blunt head trauma in infants, causing a dural tear.
  • This case highlights a rare presentation of multiple growing fractures due to penetrating head trauma.

Observation:

  • A child presented with multiple growing fractures resulting from penetrating head trauma by scissors.
  • Magnetic Resonance (MR) imaging revealed the growing fractures and an unusual post-traumatic venous anomaly.

Findings:

  • The venous anomaly included an occluded left cavernous sinus and aberrant posterior venous drainage.
  • Diagnosis of these complex injuries was significantly delayed until the patient reached 15 years of age.

Implications:

  • This case underscores the need for readily available medical expertise for abused children.
  • MR imaging is recommended for growing skull fractures to rule out associated post-traumatic brain lesions and vascular abnormalities.

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