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  • Title: Subtle presentation of isolated brainstem injury in a child with minor head injury.
    Author: Lam SH, Place R.
    Journal: Ann Emerg Med; 2008 Apr; 51(4):375-7. PubMed ID: 17692429.
    Abstract:
    Fallen television sets can cause significant injuries in toddlers. We report the case of a child with a focal brainstem injury who presented with subtle physical examination findings, which eventually led to aspiration and airway compromise. This case illustrates the importance of maintaining a high index of suspicion and performing a careful physical examination in traumatized, preverbal children who sustain an apparently minor head injury. The limitation of computed tomography studies in detecting brainstem injury is also discussed.
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