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Inner calvarial erosion from traumatic subdural haematoma in infancy

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Abstract

Case report

This is a report of a case of a subdural haematoma in infancy of possible non-accidental aetiology with raised pericerebral pressure, which we postulate has eroded the inner table of the cranial bones and resulted in leakage of marrow precursor cells into the extradural space.

Result

Subdural tapping via the fontanelle has created a channel allowing subsequent ingress of nucleated red cell precursors into the subdural space. This addition to the subdural collection has prolonged its course necessitating subduro-peritoneal shunting.

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Author notes

  1. C. E. Gilkes

    Present address: Department of Neurosurgery, Frenchay Hospital, Bristol, UK

Authors and Affiliations

  1. Department of Paediatric Neuroscience, Royal Hospital for Sick Children, Edinburgh, UK

    R. A. Minns, T. Y. M. Lo & K. K. Tallur

  2. Department of Child Life and Health, University of Edinburgh, Edinburgh, UK

    R. A. Minns & T. Y. M. Lo

  3. Department of Paediatric Haematology, Royal Hospital for Sick Children, Edinburgh, UK

    A. Thomas

  4. Medical School, University of Edinburgh, Edinburgh, UK

    C. E. Gilkes

Authors
  1. R. A. Minns
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  2. A. Thomas
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  3. T. Y. M. Lo
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  4. C. E. Gilkes
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  5. K. K. Tallur
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Corresponding author

Correspondence to R. A. Minns.

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Minns, R.A., Thomas, A., Lo, T.Y.M. et al. Inner calvarial erosion from traumatic subdural haematoma in infancy. Childs Nerv Syst 21, 573–578 (2005). https://doi.org/10.1007/s00381-004-1037-9

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  • DOI: https://doi.org/10.1007/s00381-004-1037-9

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