Status epilepticus with intracranial hemorrhage. Suspicion of nonaccidental trauma. Rule out spinal spine fracture or other injuries. The posterior infratentorial subdural hematoma does extend along the posterior aspect of the foramen magnum though without significant narrowing of the foramen. There is also minimal, predominantly right-sided subdural hemorrhage posterior to the vertebral bodies in the upper cervical spine, reaching to mid/lower C3 level, which has a maximum thickness of less than 2 mm and causes no significant spinal canal narrowing. Otherwise, there is no significant hemorrhage in the cervical or included upper thoracic spinal canal. The vertebral bodies show no gross morphologic abnormality or marrow edema. The intervertebral disks are preserved in height and T2 signal. The cervical spinal cord shows no significant abnormality.Opacification in the posterior, dependent lungs is probably atelectasis. There is no significant prevertebral effusion or soft tissue swelling. There is no convincing STIR T2 signal in the paraspinal soft tissues.
1.Minimal subdural hemorrhage along the upper cervical spine but without significant spinal canal stenosis, which given the prominent amount of subdural blood products in the posterior fossa and along the foramen magnum likely represents blood products tracking caudally.2.There is also no definite sign of fracture or significant soft tissue injury in the cervical spine or the included upper thoracic spine.3.The intracranial subdural hemorrhages are described in detail on the report of the brain MRI from the same day.