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May 29th

  • Epidural Hematoma: Epidural Hematoma occurs when a blood clot forms underneath the skull, but on top of the dura, the tough covering that surrounds the brain.

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  • Bonnie Fuller: Why Natasha Richardson Ended Up Dead: A Neurologist Explains: Natasha Richardson did have a harder spill than what has been reported. Sometimes when this happens "you can have a high level cervical spine fracture or a fracture at the base of the skull," says Dr.Sun. When this occurs, and the injured person continues to move around as Natasha did -- not realizing that she was seriously hurt -- the spine can touch the brain stem and cause a severe brain injury. A high impact fall on the head can also cause three different types of bleeding within the brain: 1) an intracranial hemorrhage, which begins as a microscopic rupture of a blood vessel deep within the brain, 2) a subdural hematoma, which is a bleed that occurs in the dura, which is the outer layer of the brain, or 3) an epidural hematoma, which is a hemorrhage, that takes place between the outer skull and the dura. *The autopsy confirms that Richardson died from an epidural hematoma.

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February 28th

  • Journal of Paediatrics & Child Health - Abstract: Volume 33(5) October 1997 p 446,447 Epidural haematoma and stroller-assoc iated injury.: We present a severe case of head injury in an infant associated with stroller use and review similar reports from the literature. A case report and a literature search of the Medline database from 1966 to 6/1996 using the terms `perambulator& #039;, `pram', `stroller' ;, or `baby carriage' . Reports in English describing injuries associated with their use are reviewed. We report a case of epidural haematoma in a 10 months old girl who sustained the injury after falling from a stroller. Safety harnesses were not worn during the incident. There was no skull fracture. Complete recovery followed surgical evacuation of the blood clot. Five reports describing stroller-relat ed injuries were found in the English literature. Most injuries were mild. Three cases of death were reported of which two were classified as child abuse. The prevalence of unintentional stroller-assoc iated injury is not clear. Mild injury, mostly to the head region, is probably common. Life-threateni ng injuries are rare
  • Epidural hematoma formation following trivial head trauma in a child with osteogenesis imperfecta Case report: Osteogenesis imperfecta (OI) represents a rare heterogeneous group of inherited disorders characterized by low bone mass, increased bone fragility, and other connective tissue manifestations . This condition can contribute to dramatic complications after a seemingly insignificant injury. A large epidural hematoma that developed in a child with OI after a trivial fall highlights the importance of close monitoring in these patients. After an injury that occurred several months prior to the head trauma the authors describe, this child had been placed in foster care because it was believed that his skeletal injuries were caused by nonaccidental injury. Subsequent genetic analysis confirmed that the child was heterozygous for the missense mutation c767G>T,pG2 56V at exon 16 of COL1A2, consistent with OI, and the foster care order was overturned. The authors review the literature concerning OI, its relationship to head injury, and the importance of genetic analysis in its diagnosis.
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