BACKGROUND: Plastic hairbeads are often worn as decorative hair fasteners by children. Serious, penetrating head injuries may result from their use and have been observed in some children following a fall. OBJECTIVE: The objective of this report is to describe the imaging findings in children who have sustained head injury while wearing plastic hairbeads. MATERIALS AND METHODS: Three children with significant head injuries resulting from embedded hairbeads are described. Three additional cases of minor head injury reported to the Consumer Product Safety Commission are summarized. RESULTS: One child sustained a minimally depressed skull fracture without brain injury. The second child required surgical repair of a depressed skull fracture complicated by a parenchymal hemorrhage and dural tear. A third child required surgical evacuation of an organized, liquefied epidural hematoma 2 weeks after an initial evaluation at an outside emergency room. CONCLUSION: Children wearing plastic hairbeads are at risk for severe head injury following a fall. Caution must accompany their use.
BACKGROUND: Plastic hairbeads are often worn as decorative hair fasteners by children. Serious, penetrating head injuries may result from their use and have been observed in some children following a fall. OBJECTIVE: The objective of this report is to describe the imaging findings in children who have sustained head injury while wearing plastic hairbeads. MATERIALS AND METHODS: Three children with significant head injuries resulting from embedded hairbeads are described. Three additional cases of minor head injury reported to the Consumer Product Safety Commission are summarized. RESULTS: One child sustained a minimally depressed skull fracture without brain injury. The second child required surgical repair of a depressed skull fracture complicated by a parenchymal hemorrhage and dural tear. A third child required surgical evacuation of an organized, liquefied epidural hematoma 2 weeks after an initial evaluation at an outside emergency room. CONCLUSION:Children wearing plastic hairbeads are at risk for severe head injury following a fall. Caution must accompany their use.