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Year : 2005  |  Volume : 15  |  Issue : 2  |  Page : 281-283
Radiological quiz - neuroradiology


Om Sai Diagnostic Centre, Sodawala lane, Borivali (west), Mumbai., India

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How to cite this article:
Shah J R, Malik R, Waghmare S A, Sainani N I. Radiological quiz - neuroradiology. Indian J Radiol Imaging 2005;15:281-3

How to cite this URL:
Shah J R, Malik R, Waghmare S A, Sainani N I. Radiological quiz - neuroradiology. Indian J Radiol Imaging [serial online] 2005 [cited 2019 Oct 22];15:281-3. Available from: http://www.ijri.org/text.asp?2005/15/2/281/29167
A three month old child was referred for CT scan of the head with complaints of fever and convulsions. Plain CT scan study (not shown) revealed normal findings, except for minimal chinking of the ventricles. Possibility of febrile convulsions with minimal generalized associated cerebral edema was raised. The child was again referred for a repeat CT scan study one month later at the age of four months with history of gradually increasing head size with hypotonia in all the limbs.

Clinical suspicion was that of a meningitic etiology, causing communicating hydrocephalus. Lumbar punctures were difficult and revealed blood tap on three occasions. This reddish colored CSF revealed plenty of RBCs. Plain CT scan study of the brain [Figure - 1][Figure - 2] was performed. Sonography was also performed [Figure - 3]. Closer clinical inspection of the child revealed enlarged head size and bandages over the right arm.


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   References Top

1.Ann-Christine Duhaime, M.D., Cindy W. Christian, M.D., Lucy Balian Rorke, M.D., and Robert A. Zimmerman, M.D. Non-accidental Head Injury in Infants - The "Shaken-Baby Syndrome". N Eng J Med 1998: 338 (25); 1822-29.  Back to cited text no. 1    
2.Tobias JD, Rasmussen GE , Yaster M. Multiple trauma in the pediatric patient. In: Mark RC, Ed. Textbook of Pediatric Intensive Care, 3rd edition. Maryland, Williams & Wilkins, 1996: 1498.  Back to cited text no. 2    
3.Moorjhani B, Patel N. Neonatal injuries in child abuse. [E medicine world medical library] last updated Dec 31 2002. Available at www.emedicine.com/med/topic445-htm-89k. Accessed on June 25, 2004.  Back to cited text no. 3    
4.American Academy of Pediatrics. Committee on Child Abuse and Neglect, Shaken baby syndrome. Pediatrics. 2001; 108: 206-210.  Back to cited text no. 4    
5.Wilkinson WS, Han DP, Rappley MD, Owings CL. Retinal hemorrhage predicts neurologic injury in the shaken baby. Archives of Ophthalmology 1989; 107 (10): 1472-1474.  Back to cited text no. 5    
6.Harwood Nash DC. Abuse to the paediatric central nervous system. AJNR 1992: 13; 215-216.  Back to cited text no. 6    
7.Lee Y, Lee KS, Hwang DH, Lee IJ, Kim HB, Lee JY. MR Imaging of Shaken Baby Syndrome Manifested as Chronic Subdural Hematoma Korean J Rad 2001 Sept; 2 (3): 171-174.  Back to cited text no. 7    
8.Sato Y, Yuh WTC, Smith WL, Alexander RC, Kao SCS, Ellerbroek CJ. Head injury in child abuse: evaluation with MR imaging. Radiology 1989; 173: 653-657.  Back to cited text no. 8    
9.Petitti N, Williams DW III. CT and MR imaging of non-accidental pediatric head trauma. Acad Radiol 1998; 5: 215-223.  Back to cited text no. 9    

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Correspondence Address:
J R Shah
Dept. Of Mri, Mammography And Bmd, Dr. Balabhai Nanavati Hospital And Research Centre, S.V. Road, Vileparle (West), Mumbai 400 056
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.29167

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    Figures

[Figure - 1], [Figure - 2], [Figure - 3]

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