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Image challenge
White cerebellum: what do you think?
  1. Ankit Kumar Sahu,
  2. Sanjeev Bhoi
  1. Emergency Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India
  1. Correspondence to Dr Ankit Kumar Sahu, All India Institute of Medical Sciences, New Delhi 110049, India; ankitkumarsahu13{at}gmail.com

https://doi.org/10.1136/emermed-2019-208710

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    Clinical introduction

    A 3-year-old boy with a reported history of road traffic crash 1 hour ago presented to the ED in an unconscious state. In view of poor GCS (E1V1M1), he was intubated and mechanically ventilated. His circulation was stable. Both pupils were dilated and sluggishly reactive to light. On secondary survey, minor bruises were present on the left side of the face. A provisional diagnosis of severe traumatic brain injury was made and immediate non-contrast …

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    Footnotes

    • Contributors Both authors have made substantive contribution to the study, and both endorse the data and conclusion.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

    • Patient consent for publication Obtained.