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Related Experiment Video

Updated: Nov 3, 2025

The Spared Nerve Injury SNI Model of Induced Mechanical Allodynia in Mice
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NAI: never actually injured.

David Kilgarriff1, Sinead Brannick2, Edwina Daly2

  • 1Department of Paediatrics, Tallaght Hospital Library, Adelaide and Meath Hospital, Dublin, Ireland david.kilgarriff@ucdconnect.ie.

BMJ Case Reports
|June 1, 2021
PubMed
Summary

A rare case of congenital vault depression, mimicking non-accidental head injury in an infant, was diagnosed and resolved. This condition, also known as faulty fetal packing, highlights the importance of considering benign diagnoses.

Keywords:
child abusecongenital disorderspaediatrics

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Area of Science:

  • Pediatrics
  • Radiology
  • Neonatology

Background:

  • Non-accidental head injury is a serious concern in infant presentations with head trauma.
  • Differential diagnosis is crucial to avoid misinterpretation of findings.

Observation:

  • A 31-day-old female infant presented with a head injury, showing a left temporoparietal depression.
  • CT imaging revealed a concave depression of the left parietal bone.

Findings:

  • The infant was diagnosed with faulty fetal packing (congenital vault depression), a condition mimicking non-accidental injury.
  • The cranial defect showed significant resolution by 5 months of age.

Implications:

  • This case underscores the importance of considering congenital conditions in the differential diagnosis of infant head trauma.
  • Accurate diagnosis of congenital vault depression prevents unnecessary investigations and potential psychological distress for families.