1 – Neuroradiology Department – CHLC, EPE
Critical Findings in Neuroradiology, Eds: Nunes RH, Abello AL, Castillo M, Springer, 1ª Ed, 2016, ISBN 978-3-319-27985-5
Skull fractures represent a leading cause of death and disability in children. They can be classified in several types, determined not only by the energy and the striking object, but also to the changing characteristics of the developing skull. Some entities are specific of infants, such as “ping-pong” and growing fractures. Mechanisms of injury are also different from adult’s and vary with age, from birth trauma to recreational activities and motor vehicle accidents. CT is the most useful imaging technique in the acute setting, although MRI has some particular indications. Knowledge of the normal skull development as well as expected pathological findings are essential for correct diagnosis and treatment of these patients. A brief review of pediatric skull fractures, followed by a recommended imaging approach, typical findings, differential diagnosis and reporting tips are discussed in this chapter.