Detection of ruptured cerebral bridging veins at autopsy

Maxeiner, H

doi:10.1016/s0379-0738(97)00124-2

Cited by 75 publications

(36 citation statements)

References 7 publications

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“…29, 30 Towner et al 19 suggested that abnormal labor was a common risk factor for hemorrhage in infants, after a retrospective review of deliveries in nulliparous women demonstrated a low incidence of intracranial hemorrhage. Pollina et al 27 suggested that the method of assisted delivery rather than the urgency of the delivery or dysfunctional labor is a more important variable in cranial birth injuries.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Evolution of Intracranial Hemorrhage in Asymptomatic Term Infants

Rooks¹,

Eaton²,

Ruess³

et al. 2008

AJNR Am J Neuroradiol

253

197

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BACKGROUND AND PURPOSE:Subdural hemorrhage (SDH) is often associated with infants experiencing nonaccidental injury (NAI). A study of the appearance and natural evolution of these birth-related hemorrhages, particularly SDH, is important in the forensic evaluation of NAI. The purpose of this study was to determine the normal incidence, size, distribution, and natural history of SDH in asymptomatic term neonates as detected by sonography (US) and MR imaging within 72 hours of birth.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Evolution of Intracranial Hemorrhage in Asymptomatic Term Infants

Rooks¹,

Eaton²,

Ruess³

et al. 2008

AJNR Am J Neuroradiol

253

197

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“…To avoid the technique mentioned above, which has the disadvantage of cutting the brain [13,15], Stein first performed non-contrast computed tomography (CT) of the infant's head to document its original state, then instilled contrast agent directly via fontanel puncture into the superior sagittal sinus and repeated the scan. This method is minimally invasive and can be done quickly and conveniently on clinical CT systems, though it requires an open fontanel.…”

Section: Demonstration Of Bridging Vein Rupturementioning

confidence: 99%

Bridging veins and autopsy findings in abusive head trauma

Rambaud

2015

Pediatr Radiol

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Bridging veins are crucial for the venous drainage of the brain. They run as short and straight bridges between the brain surface and the superior sagittal sinus in the subdural compartment. Subdural bleeding is a marker for a traumatic mechanism (i.e., acceleration/deceleration, rotational and shearing forces due to violent shaking) causing rupture of the bridging veins. Demonstration of bridging vein rupture allows the unequivocal diagnosis of a traumatic mechanism and should therefore be a routine part of the postmortem in cases of subdural hemorrhage.

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“…Die in Standardwerken geäußerte Einschätzung, wonach es (bei der Untersuchung von Todesfällen) meistens unmöglich sein soll, die Blutungsquellen einer SDB zu finden [28,32], ist anscheinend weit verbreitet, jedoch irrig und geht auf ein inadäquates präparatorisches Vorgehen bei der Autopsie zurück, was durch umfangreiche Studien schon lange belegt ist [29,50], und in unserer Praxis immer wieder demonstriert wird [33,34,35,36,37]. Werden solche Gefäßverletzungen nachgewiesen, so besteht an der traumatischen Genese der Symptomatik kein Zweifel mehr.…”

Section: Todesfälle Von Säuglingen (1 Lebensjahr) Mit Isolierter Subunclassified

“…Fällen zweifelsfrei gesichert, in einem Fall sehr wahrscheinlich gemacht und bei dem Kind mit einjähriger Über-lebenszeit zeigte sich ein völliges Fehlen "üblicher" Brückenvenenübergänge, verbunden mit kleinen knäuelartigen Gefäßwucherungen an diesen Stellen.Durch eine vor 3 Jahren eingeführ-te, bei Kopftraumen routinemäßig vorgenommene Röntgenkontrastdarstel-lung[34,36,37] wurde die Diagnostik solcher Verletzungen wesentlich vereinfacht (Abb. 1).…”

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Zur Bewertung von Subduralblutungen bei Säuglingen nach angeblichen Bagatelltraumen

Maxeiner

2001

Der Unfallchirurg

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Comparing cases of accidental and non-accidental SDB in the literature, infantile SDB obviously cannot be looked at as a homogeneous entity: two quite different types should be kept separate: the patients suffering from an accidental SDB due to a minor fall mostly do not deteriorate immediately after the trauma, develop SDB of some volume, up to a space-occupying mass lesion, and have often a good prognosis. A lethal outcome is extremely uncommon; we have not observed a single case of an infantile lethal SDB resulting from such a minor injury for more than 20 years. The source of the SDB in those cases currently is unknown in most instances. The second group of infantile SDB includes the well-known group of shaken-baby-syndrome: no adequate history, infants dead or nearly dead on clinical presentation, often a poor outcome if the event is survived, typically no significant volume of SDB, and--according to our experiences--in all cases BV ruptures. This combination of several BV ruptures with no significant subdural bleeding is not compatible with a supposition of a minor fall causing this.

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Detection of ruptured cerebral bridging veins at autopsy

Cited by 75 publications

References 7 publications

Prevalence and Evolution of Intracranial Hemorrhage in Asymptomatic Term Infants

Prevalence and Evolution of Intracranial Hemorrhage in Asymptomatic Term Infants

Bridging veins and autopsy findings in abusive head trauma

Zur Bewertung von Subduralblutungen bei Säuglingen nach angeblichen Bagatelltraumen

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