Is the skull x-ray a useful tool in paediatric blunt head injury and are we familiar with an abnormal finding?

Skull X-ray (SXR) has been, and still is, used in some institutions to detect skull fractures in paediatric head injuries. When no clinical/neurological indication for computed tomography (CT) scanning exists, the presence of a skull fracture may be used as an indication for this. This case report d...

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Main Authors: S. Andronikou, C. Welman, E. Kader, J. Venter, T. Kilborn
Format: Article
Language:English
Published: AOSIS 2001-02-01
Series:South African Journal of Radiology
Subjects:
Online Access:https://sajr.org.za/index.php/sajr/article/view/1784
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author S. Andronikou
C. Welman
E. Kader
J. Venter
T. Kilborn
author_facet S. Andronikou
C. Welman
E. Kader
J. Venter
T. Kilborn
author_sort S. Andronikou
collection DOAJ
description Skull X-ray (SXR) has been, and still is, used in some institutions to detect skull fractures in paediatric head injuries. When no clinical/neurological indication for computed tomography (CT) scanning exists, the presence of a skull fracture may be used as an indication for this. This case report demonstrates an unusual SXR finding of oval lucencies in a neurologically normal child who had sustained a head injury. The subsequent CT scan demonstrated a subacute subdural haemorrhage with air pockets, highlighting the need to recognise intracranial air. The literature is reviewed regarding the usefulness of SXR in childhood head injury.
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spelling doaj.art-738aebc5eb1748b98509c679a5087a6d2022-12-21T18:32:57ZengAOSISSouth African Journal of Radiology1027-202X2078-67782001-02-0151454710.4102/sajr.v5i1.17841070Is the skull x-ray a useful tool in paediatric blunt head injury and are we familiar with an abnormal finding?S. Andronikou0C. Welman1E. Kader2J. Venter3T. Kilborn4Department of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's HospitalDepartment of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's HospitalDepartment of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's HospitalDepartment of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's HospitalDepartment of Paediatric Radiology, University of Cape Town; and Institute of Child Health, Red Cross War Memorial Children's HospitalSkull X-ray (SXR) has been, and still is, used in some institutions to detect skull fractures in paediatric head injuries. When no clinical/neurological indication for computed tomography (CT) scanning exists, the presence of a skull fracture may be used as an indication for this. This case report demonstrates an unusual SXR finding of oval lucencies in a neurologically normal child who had sustained a head injury. The subsequent CT scan demonstrated a subacute subdural haemorrhage with air pockets, highlighting the need to recognise intracranial air. The literature is reviewed regarding the usefulness of SXR in childhood head injury.https://sajr.org.za/index.php/sajr/article/view/1784computerised tomographyskull fracturesubdural haemorrhagepneumocranium
spellingShingle S. Andronikou
C. Welman
E. Kader
J. Venter
T. Kilborn
Is the skull x-ray a useful tool in paediatric blunt head injury and are we familiar with an abnormal finding?
South African Journal of Radiology
computerised tomography
skull fracture
subdural haemorrhage
pneumocranium
title Is the skull x-ray a useful tool in paediatric blunt head injury and are we familiar with an abnormal finding?
title_full Is the skull x-ray a useful tool in paediatric blunt head injury and are we familiar with an abnormal finding?
title_fullStr Is the skull x-ray a useful tool in paediatric blunt head injury and are we familiar with an abnormal finding?
title_full_unstemmed Is the skull x-ray a useful tool in paediatric blunt head injury and are we familiar with an abnormal finding?
title_short Is the skull x-ray a useful tool in paediatric blunt head injury and are we familiar with an abnormal finding?
title_sort is the skull x ray a useful tool in paediatric blunt head injury and are we familiar with an abnormal finding
topic computerised tomography
skull fracture
subdural haemorrhage
pneumocranium
url https://sajr.org.za/index.php/sajr/article/view/1784
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