@article {Kriss:2024:2637-8329:237, title = "Imaging of the Pediatric Cranial Sutures in Abusive Head Trauma", journal = "Neurographics", parent_itemid = "infobike://asnr/ng", publishercode ="asnr", year = "2024", volume = "14", number = "3", publication date ="2024-07-01T00:00:00", pages = "237-247", itemtype = "ARTICLE", issn = "2637-8329", eissn = "2637-8329", url = "https://asnr.publisher.ingentaconnect.com/content/asnr/ng/2024/00000014/00000003/art00005", doi = "doi:10.3174/ng.2300053", keyword = "3D head CT = 3D volume-rendered reformatted head CT, AHT = abusive head trauma, AP = anterior-posterior", author = "Kriss, S. and Sarma, A. and Pruthi, S.", abstract = "Pediatric skull fractures are frequently encountered in accidental and abusive head trauma and often involve cranial sutures. However, skull fracture association with cranial sutural widening, crossing, or contacting 2 cranial sutures can be seen more commonly with abusive head trauma. Knowledge of cranial sutures and associated variants is helpful for an accurate diagnosis. 3D head CT is a significant aid in the identification of skull fractures contacting and crossing cranial sutures. Growing literature supports the elimination of concurrent skull radiographs (often performed as required components of follow-up skeletal surveys). Ultrashort TE/zero TE MRI is an emerging new imaging technique to consider for assessing skull fractures to aid in evaluating pediatric abusive head trauma.Learning Objective: To review skull fracture findings in abusive head trauma with attention paid to the cranial sutures (widening, crossing, or contacting 2 sutures). To recognize normal cranial sutural variants. To understand the role of CT versus radiographs in assessing skull fractures. To discuss ultrashort TE/zero TE MRI as an emerging technique for imaging skull fractures in abusive head trauma. ", }