Additional Traumatic Lesions (Cerebral Concussion)

Combined traumatic lesions in trauma to the brain. In head injury not only a possible cerebral concussion has to be considered but also soft tissue injuries and skull fractures. The latter may be clinically important and/or a sign of head injury which has taken place, and its degree. In this 6-month-old infant the mother consulted the general practitioner because of a pasty swelling of the galea. There was an extensive bluish swelling in the parietooccipital region: The infant is pale, with 103 g/l of hemoglobin. Retrospectively, a fall on the edge of a dish was communicated; the lateral x-ray not shown here demonstrated a parietooccipital skull fissure on the left side leading to a gross subperiostal and galea hematoma.