Normal skull suture variant mimicking intentional injury

Abstract

A presumed skull fracture might be a variant of a normal skull suture, especially when bilateral We describe the case of a 1 year old boy with no history of trauma but a parietal soft tissue swelling. Skull radiographs showed what appeared to be bilateral skull fractures. A previously healthy 1 year old boy was brought by his mother to the accident and emergency department after she had noticed a left parietal soft tissue swelling when he awoke. There was no history of trauma, and she had not noticed the swelling before. On examination the child was alert and the swelling was non-tender with no evidence of contusion, laceration, or abrasion. The casualty doctor detected an abnormality on the x ray of the skull that was thought to …