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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Dent And Swelling On Head After Hitting To A Steel Pole. CT Scan Normal. Stumble When Walking. Should I Be Worried?

My 1 year old fell yesterday in a store and hit his head on a steel pole. Instead of a bump there was an obvious small "dent". We went straight to the ER, by the time we were there a small amt of swelling started but within a few minutes he was difficult to keep awake. They said to let him sleep. Did a CT that was normal. He slept for several hours which is very unusual for him. Today there is still minimal swelling and a small dent can still be felt. He is eating fine but does appear a little more "stumbly" when walking. Should I be worried? Can a CT miss something?
Tue, 30 Apr 2013
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Pediatrician 's  Response
Hi
thanks for your quiry at HCM

CT scan done for bony window can depict depressed bone , there are some delayed signs which cant be seen if CT scan done earlier within 4 to 5 hours . this gait disturbance and difficulty in arousal can be due to brain edema so reconsult the neuro surgeon


i will be available for your help
wishing you a speedy recovery
take care
regards
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Having Dent And Swelling On Head After Hitting To A Steel Pole. CT Scan Normal. Stumble When Walking. Should I Be Worried?

Hi thanks for your quiry at HCM CT scan done for bony window can depict depressed bone , there are some delayed signs which cant be seen if CT scan done earlier within 4 to 5 hours . this gait disturbance and difficulty in arousal can be due to brain edema so reconsult the neuro surgeon i will be available for your help wishing you a speedy recovery take care regards