pediatric skull xray

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Pediatric Skull Xray. Heather Patterson August 2, 2007. Objectives. Brief review of anatomy Approach to pediatric skull xray Examples. Skull fractures. Common in non-accidental trauma 80% in first year Rare after 2y of age. Anatomy. Anatomy. Skull Xray. - PowerPoint PPT Presentation

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  • Pediatric Skull XrayHeather PattersonAugust 2, 2007

  • Objectives Brief review of anatomyApproach to pediatric skull xrayExamples

  • Skull fractures Common in non-accidental trauma80% in first yearRare after 2y of age

  • Anatomy

  • Anatomy

  • Skull Xray Full series 3-4 viewsAPTownes view (AP with neck flexed)Lateral x 2

  • Skull Xray

  • Skull Xray

  • Skull Xray

  • Skull Xray

  • Approach Follow cortex Identify suture linesIdentify abnormal lines

  • What is the big deal? Risk of growing fractureLeptomeningeal cystsLong term sequelae

  • Growing fracture/Leptomeningeal CystRare

  • Growing fracture/Leptomeningeal CystImagingAngular, linear lytic lesionScalloped margins

    Managementf/u with neurosurgeryEarly intervention as needed

  • Case 1

  • Case 1

  • Case 1 Linear fracture R posterior parietal and occipital bonesExtends through lambdoid suture

  • Case 2

  • Case 2 R parietal skull fracture

  • Case 3

  • Case 3

  • Case 3 Linear fracture R occiput

  • Case 4

  • Case 4

  • Case 4 Depressed skull fracture posterior right parietal bone

  • Case 5

  • Case 5 R parietal fracture Communicates with lamboidal suture

  • Case 6

  • Case 6

  • Case 6 R parietal fracture

  • Case 7

  • Case 7

  • Case 7 L parietal fracture

  • Case 8

  • Case 8 Persistent skull defectEncephalomalacic cystic defectConsistent with leptomeningeal cyst

  • Uganda

  • Uganda

  • Uganda

  • Uganda

  • Uganda

  • Uganda

  • Uganda

    *Second most common type of fracture in abuse second to long bone*Second most common type of fracture in abuse second to long bone