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Head injuries in children from plastic hairbeads
E Geller1, M S Yoon, J Loiselle
1Department of Radiology, St. Christopher's Hospital for Children, Erie Avenue at Front Street, Philadelphia, PA 19134, USA.
Background:
Plastic hairbeads are often worn as decorative hair fasteners by children. Serious, penetrating head injuries may result from their use and have been observed in some children following a fall.
Objective:
The objective of this report is to describe the imaging findings in children who have sustained head injury while wearing plastic hairbeads.
Materials And Methods:
Three children with significant head injuries resulting from embedded hairbeads are described. Three additional cases of minor head injury reported to the Consumer Product Safety Commission are summarized.
Results:
One child sustained a minimally depressed skull fracture without brain injury. The second child required surgical repair of a depressed skull fracture complicated by a parenchymal hemorrhage and dural tear. A third child required surgical evacuation of an organized, liquefied epidural hematoma 2 weeks after an initial evaluation at an outside emergency room.
Conclusion:
Children wearing plastic hairbeads are at risk for severe head injury following a fall. Caution must accompany their use.