Evidence map›Paper›PMID 42157786›Full record

ArticleCase reports in pediatrics2026

Bilateral Skull Fractures in an Infant: Diagnostic Dilemma Between Accident and Abuse.

Tomohiro Hirade, Daisuke Koike

Abstract read
In one paragraph

Article in Case reports in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Tomohiro HiradeDepartment of Pediatrics, Shimane Prefectural Central Hospital, Shimane, Japan, spch.izumo.shimane.jp.ORCID https://orcid.org/0000-0002-8056-3756
Daisuke KoikeDepartment of Pediatrics, Shimane Prefectural Central Hospital, Shimane, Japan, spch.izumo.shimane.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accidental head injury in infants is relatively common in the emergency department. However, abusive head trauma (AHT) should be considered in the differential diagnosis because of its strong association with morbidity and mortality. A 4-month-old male infant was admitted to the emergency department by his parents because of bilateral scalp swelling. Skull radiography and head computed tomography with three-dimensional reconstruction revealed bilateral linear parietal skull fractures. Although bilateral skull fractures are more commonly associated with AHT than single linear skull fractures, they may also result from a single accidental impact. Because skull fracture patterns alone cannot exclude AHT, a comprehensive medical evaluation is essential. If clinicians have even a slight suspicion of AHT, they should not hesitate to consult the hospital child protection team or Child Protective Services.

Indexed as

abusive head traumaaccidental head traumabilateral skull fracturesChild Protective Servicesscalp swelling

Identifiers

PMID42157786
PMCPMC13181272

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.