Five cases of serious isolated head injury inflicted on children by rear view mirrors mounted on vehicles
| Age, sex | GCS on admission | Injury, including CT findings | Treatment, including operative findings | Follow up at 6 months |
|---|---|---|---|---|
| CT, computed tomography; F, female; GCS, Glasgow coma score; M, male; MRI, magnetic resonance imaging | ||||
| 7, M | 14 | Fronto-parietal skull fracture and scalp laceration, brain contusion with small subdural haemorrhage and some midline shift | Laceration sutured, non-operative treatment of injury | Reported to have slurred speech and poor attention span |
| 4, M | 3 | Generalised seizure, depressed fronto-parietal skull fracture, ipsilateral brain swelling with ventricular effacement | Depressed fracture elevated, small extradural haemorrhage removed, underlying brain contused | No further seizures but MRI brain showed persisting abnormality in subcortical frontal and parietal white matter bilaterally |
| 13, F | 3 | Scalp laceration, fronto-parietal skull fracture, temporal lobe contusion, zygomatic fracture | Compound depressed skull fracture elevated | Well with no problems |
| 11, M | 15 | Occipital skull fracture frontal lobe contusion, subarachnoid haemorrhage | Non-operative treatment | No problems reported |
| 8, M | 11 | Orbital fracture, basal skull fracture, extradural, subdural, and intracerebral haemorrhage | Staged surgical treatment, initially evacuation of haematoma then parietal bone grafting | Evidence of left sided hemiparesis |