conclusions every clinician must be alert to the possibility of battered baby in a child with multiple injuries. case presentation a three-year-old female child was brought with multiple bruises, fracture of left femur and features of raised intracranial tension. the etiology was unclear at presentation. inconsistencies in history given by the mother, a background of poverty and single parentho...

Objectives To identify the incidence, clinical outcome, and associated factors of subdural haemorrhage in children under 2 years of age, and to determine how such cases were investigated and how many were due to child abuse. Design Population based case series. Setting South Wales and south west England. Subjects Children under 2 years of age who had a subdural haemorrhage. We excluded neonates...

OBJECTIVES To identify the incidence, clinical outcome, and associated factors of subdural haemorrhage in children under 2 years of age, and to determine how such cases were investigated and how many were due to child abuse. DESIGN Population based case series. SETTING South Wales and south west England. SUBJECTS Children under 2 years of age who had a subdural haemorrhage. We excluded ne...

To cite: Patel RA, Levy ML, Crawford JR. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013200802 DESCRIPTION A 9-year-old previously healthy boy presented to the emergency room with a 3-week history of progressive headaches and intermittent vomiting without history of preceding trauma. The neurological examination was non-focal. A CT revealed a large, right-sid...

Arachnoid cysts which develop in relation to the cerebral hemispheres are usually found in the middle cranial fossa. These cysts are usually asymptomatic but can produce symptoms if there is haemorrhage into the cyst or the development of an associated subdural hematoma. Recent publications have emphasised the association of arachnoid cysts of the middle fossa with subdural haematomas. This rep...

THE frequent discovery of tears of the dura mater septa associated with subdural cerebral haemorrhage, in foetuses dying during the course of labour, was one of the most striking features of this investigation. Out of 168 fresh foetuses the tentorium cerebelliwas found torn in8i (48 per cent.), associated with tearing of the falx cerebri in five cases and with subdural cerebral haemorrhage in a...

Leptospirosis is a zoonotic infection more common in south India. Most of the cases are asymptomatic but rarely patient can develop complications like renal failure, acute liver pancreatitis, ARDS and bleeding diathesis. Haemorrhage has been reported multiple sites, which most pulmonary haemorrhage. Here we report case 53-year-old male presenting with febrile illness seizures. CT brain revealed...

Shaken baby syndrome (SBS), characterized by the triad of subdural haemorrhage, retinal haemorrhage, and encephalopathy, was initially based on the hypothesis that shaking causes tearing of bridging veins and bilateral subdural bleeding. It remains controversial. New evidence since SBS was first defined three decades ago needs to be reviewed. Neuropathology shows that most cases do not have tra...

Closed head trauma in anticoagulated patients is an increasing common presentation to Emergency Department (ED). Within this population, there a subset of who present with delayed intracranial haemorrhage, typically resulting subdural or parenchymal bleeds, negative initial non-contrast CT.

Objective: To compare the results of either craniotomy or burr hole surgery in highly old patients with subdural haemorrhage. Methods: 48 patients with chronic subdural haemorrhage (34 patients showed combined subacute blood in CT scan) were collected and followed preoperatively, immediate postoperative and 6 months after surgery. Patients were classified into two groups; (Group 1): 26 patients...