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To the Editor: We have read with great interest the article by Duhaime et al. (2) on crush injuries to the head in children. We think this article constitutes an important contribution to the knowledge of head injuries caused by static loading forces to the cranium. However, in our opinion, some of the cases reported by these authors are not only caused by mere cranial compression; there must be an additional component that complicates the mechanism of crush injury, as is correctly pointed out by the authors. Accordingly, Patients 2, 4, and 5 present some neurological signs that are found in head injuries produced by mechanisms other than cranial compression. It is true that if the crush injury to the patient's head does not cause immediate death, most individuals arrive at the hospital fully conscious but with multiple cranial base lesions (3–5, 7)....