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Menkes disease mimicking non-accidental injury
  1. F Bacopoulou1,
  2. L Henderson2,
  3. S G Philip3
  1. 1Department of Neurology, Birmingham Children’s Hospital, Birmingham, UK
  2. 2Department of Neurophysiology, Birmingham Children’s Hospital, Birmingham, UK
  3. 3Department of Neurology, Birmingham Children’s Hospital, Birmingham, UK
  1. Correspondence to:
    Dr F Bacopoulou
    Birmingham Children’s Hospital, Steelhouse Lane, Birmingham B4 6NH, UK; bacopouf{at}hotmail.com

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A male infant presented at 3 months of age with status epilepticus. Magnetic resonance imaging (MRI) showed bilateral subdural haematomas with diffuse cerebral and cerebellar atrophy (fig 1), A radiological skeletal survey showed anterior flaring of the ribs and metaphysial spurs at the lower ends of the femur, ulna, and radius (fig 2).

Figure 1

 Brain MRI coronal image showing bilateral …

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    BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health