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 PresentationTRANSCRIPT
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