Characterization of subdural collections in initial neuroimaging of abusive head trauma: Implications for forensic age diagnostics and clinical decision-making

Hahnemann, Maria L.; Kronsbein, Katharina; Karger, B.; Feld, Katharina; Banaschak, S.; Helmus, Janine; Mentzel, Hans‐Joachim; Pfeiffer, Heidi; Wittschieber, Daniel

doi:10.1016/j.ejrad.2022.110652

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…In Germany, Hahnemann et al performed a multicenter study analyzing neuroimaging material from 56 children, revealing the multifocal presence of subdural collections in over 96% of cases. The most frequent radiological entity was subdural hematohygroma (66%) proximal to subdural collections of cases with signs of recent head injury [1].…”

Section: Radiological Investigationsmentioning

confidence: 99%

“…Child abuse is a serious emergency in the world. Abusive Head Trauma (AHT) has an incidence of approximately 20-40 children for every 100,000 births, therefore it is a complex phenomenon that represents an important cause of mortality and traumatic morbidity in childhood [1]. In Germany, between 100 and 200 children are hospitalized for AHT each year.…”

Section: Introduction 1epidemiology Of Ahtmentioning

confidence: 99%

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Clinical and Forensic Investigation Protocols for Diagnosing Abusive Head Trauma: A Literature Review

Sacco,

Gualtieri,

Tarda

et al. 2023

Diagnostics

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Abusive head trauma (AHT) represents a very serious global public health problem. Prevention of these episodes is essential to reduce the morbidity and mortality of this phenomenon. All healthcare professionals should be able to recognize the signs of abuse. However, diagnosis is very complex as the signs are often blurred and cannot be recognized with certainty without carrying out adequate instrumental investigations. It has been calculated that approximately one-third of AHT cases remain undetected and require more than one medical visit to be correctly interpreted and diagnosed. On the other hand, the literature has recently also emphasized the problems related to possible false diagnoses of abuse and the numerous family and personal repercussions that follow from this issue. For these reasons, correct and timely recognition is essential to avoid the risk of recurrence of AHT and to start proper forensic investigations, in order to identify the offender or exonerate a suspect. The present work explores the most recent evidence of recent years in the field of AHT diagnostics through a literature review. The purpose of this article is to provide forensic pathologists with clear tools for diagnosis based on the literature. To this end, the review suggests clinical and forensic protocols aimed at the timely diagnosis of AHT in order to prevent abuse from remaining undetected.

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Section: Radiological Investigationsmentioning

confidence: 99%

Section: Introduction 1epidemiology Of Ahtmentioning

confidence: 99%