Question
A four-year-old child accidentally struck his head with a small hammer three days ago. At the time, a small lump appeared, and now the swelling has spread to one-quarter of the head area. The results of a computerized tomography (CT) scan show: there is no obvious abnormality in the brain tissue density, and there is no abnormality in the brain sulcus pool. However, the shape of the ventricles appears unnatural. The bone window shows: there are no obvious signs of skull fracture, the interparietal space is wider, and there is swelling in the soft tissue of the right frontal parietal area. The sinuses and sphenoid sinuses show high-density images. Imaging diagnostics indicate: 1. The brain CT scan did not show any obvious abnormalities; 2. Swelling in the soft tissue of the right frontal parietal area; 3. High-density in the sinuses and sphenoid sinuses. Previous treatment and outcomes: No treatment has been administered yet. Questions needing assistance include: What does it mean if the shape of the ventricles is unnatural? What do high-density images in the sinuses and sphenoid sinuses represent? As the swelling becomes more pronounced, what should I do?
Answer
Subdural hematoma may be caused by a ruptured blood vessel, and high-density images in the sinuses and sphenoid sinuses may be due to skin breakage or the presence of inflammation, polyps, etc. Recommendation: After three days of injury, cold compresses can be applied to the swollen area daily to promote the absorption of blood clots. High-density images in the sinuses and sphenoid sinuses require further observation. If it is just a skin breakage, it usually heals naturally without special treatment; if it is inflammation, anti-inflammatory medication is needed. It is recommended to observe for several days and have a follow-up examination. If symptoms do not improve or…