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Abstract
Forty-five head trauma cases from 177 child-abuse patients are reported. Intracranial
injuries include acute epidural and subdural hematomas, subdural effusion, cerebral
contusion, and atrophy (subdural effusion and cerebral contusion being most frequently
seen). Incidence of skull fracture among the 45 patients is about 38%. Sixty-five
percent of the 17 skull fracture patients also had intracranial injury, and 78% of
the 28 patients with normal skulls had intracranial injury. CT should be the primary
tool for evaluating child-abuse head trauma.
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© 1980 University Park Press. Published by Elsevier Inc. All rights reserved.