Non-accidental injury - intracranial manifestation

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Drowsiness.

Patient Data

Age: 2 years
Gender: Male

Subdural hematomas of different ages surrounding frontal, parietal and temporal lobes on both sides.

Marked brain parenchymal atrophy as evidenced by enlargement of subarachnoid spaces surrounding  the anterior aspects of both cerebral hemispheres.

Case Discussion

The imaging features are very likely for non-accidental brain injury.

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