Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was a 17 month old female who fell down 12 steps in her grandmother's arms with the grandmother landing on the child's head and smothering her.
Clinical Physical Exam:
The patient had abnormal posturing and a blown left pupil.
Clinical Differential Diagnosis:
Diffuse cerebral edema
Chest film showed air in the mediastinum. Head CT exam showed diffuse cerebral edema and left contusion, subarachnoid hemorrhage, a frontal skull fracture, and air dissecting in the neck. An abdomen CT exam showed air in the mediastinum and a small right pneumothorax.
Imaging Differential Diagnosis:
Follow-up and Prognosis:
The patient was felt to be brain dead and had a nuclear medicine brain scan which confirmed the diagnosis. She was taken off of life support and died.
Please send us comments by filling out our Comment Form.
All contents copyright © 1992-2021 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.
"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.
Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.
Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.
The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.