The neuropathology of infant subdural haemorrhage

Squier, Waney; Mack, Julie

doi:10.1016/j.forsciint.2009.02.005

Cited by 95 publications

(79 citation statements)

References 50 publications

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“…They extend, bridge-like, at intervals along the midline, from their attachment to the arachnoid at the medial border of the cerebral hemispheres to the superior sagittal sinus of the dura mater, into which they flow after having traversed the arachnoid space and the deep layers of the dura mater [2]. These veins constitute a short, non-tortuous, perpendicular pipeline between the arachnoid and the dura, making them particularly vulnerable to rupture during anteroposterior movements of the brain within the cranium [1].…”

mentioning

confidence: 99%

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Abusive head trauma: don’t overlook bridging vein thrombosis

Adamsbaum

Rambaud

2012

Pediatr Radiol

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mentioning

confidence: 99%

“…1). However, standard autopsy procedures may damage the bridging veins and thereby the demonstration of their rupture and/or thrombosis is often difficult [2,3].…”

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confidence: 99%

Abusive head trauma: don’t overlook bridging vein thrombosis

Adamsbaum

Rambaud

2012

Pediatr Radiol

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“…It does not open until the dura-arachnoid interface is mechanically separated, for instance due to brain shrinking, trauma, or neurosurgical interventions. [33][34][35] This opening is actually regarded as a cleaving of the so-called dural border cell layer-the innermost zone of the dura mater-and therefore also referred to as intradural lesion. 33,36 Nevertheless, in this article, the traditional term subdural is used to describe accordant pathologies within that space such as SDHy.…”

Section: What Are Subdural Hygromas?mentioning

confidence: 99%

“…In fact, the terms cSDH (in the meaning of old SDH) and SDHy are frequently used as synonyms in radiologic reports as well as in recent scientific literature. 34 Thereby, it is implied that SDHys solely indicate remnants of SDHs. But is this simplification true?…”

Section: What Are Subdural Hygromas?mentioning

confidence: 99%

Subdural Hygromas in Abusive Head Trauma: Pathogenesis, Diagnosis, and Forensic Implications

Wittschieber¹,

Karger²,

Niederstadt

et al. 2014

AJNR Am J Neuroradiol

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SUMMARY:Are subdural hygromas the result of abusive head trauma? CT and MR imaging represent important tools for the diagnosis of abusive head trauma in living infants. In addition, in-depth understanding of the pathogenesis of subdural hygromas is increasingly required by neuroradiologists, pediatricians, and forensic physicians. Therefore, the current knowledge on subdural hygromas is summarized and forensic conclusions are drawn. The most important diagnostic pitfalls, benign enlargement of the subarachnoid space, and chronic subdural hematoma, are discussed in detail. Illustrative cases from forensic practice are presented. Literature analysis indicates that subdural hygromas can occur immediately or be delayed. If other infrequent reasons can be excluded, the presence of subdural hygromas strongly suggests a posttraumatic state and should prompt the physician to search for other signs of abuse. To differentiate subdural hygromas from other pathologies, additional MR imaging of the infant's head is indispensable after initial CT scan. ABBREVIATIONS:AHT ϭ abusive head trauma; BESS ϭ benign enlargement of subarachnoid space; BV ϭ bridging vein; cSDH ϭ chronic subdural hematoma;

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“…Los hallazgos, como era de esperar por definición y diagnóstico, mostraron la presencia de hematoma subdural en 100% de los casos [10,[15][16][17], aunque Minns [18] lo describe en menor frecuencia, aproximadamente un 90% de los casos. Las lesiones en ojos (hemorragias retinianas y/o hemorragias de nervios ópticos) fueron halladas en un 65,1%, acorde con la literatura que describe una frecuencia de entre 70 y 90% [15,16,19,20].…”

Section: Nivel Educativo Progenitores Totalunclassified

Hallazgos de necropsias en maltrato infantil en Bogotá, Colombia, entre el 2000-2005 y el 2011-2013

Zurbarán-Barrios

Fino

2015

CFJ

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Introducción: el objetivo de este artículo es presentar los resultados de la investigación realizada en necropsias medicolegales de menores fallecidos por maltrato infantil, en la ciudad de Bogotá, en los años 2000 a 2005 y 2011 a 2013. Metodología: además se busca determinar las causas de muerte y el patrón de lesiones traumáticas más frecuentes y compararlos con lo descrito en la literatura médica. A la Regional Bogotá del Instituto Nacional de Medicina Legal y Ciencias Forenses ingresan anualmente unos 4.700 cadáveres, el 8 – 10 % corresponden a casos de menores de edad. Resultados: 110 casos de muerte por malos tratos por acción. Las edades oscilaron entre 7 días y 15 años. Los niños representaron el 55% y las niñas el 45%. Las causas de muertes en estos menores fueron 66.36% por trauma craneoencefálico; 29.09% por trauma abdominal; y 2.73% por asfixia. Los traumas dérmicos fueron la lesión que más frecuentemente acompañó a las causas de muerte. Conclusiones: 2.67% de las muerte de menores residentes en la ciudad de Bogotá son causadas por maltrato infantil. Las causas de muerte fueron principalmente trauma craneoencefálico, seguido por trauma abdominal. El mecanismo de trauma craneoencefálico de mayor frecuencia fue aceleración desaceleración. El 11.1% tuvo delito sexual asociado. Los agresores identificados en su mayoría fueron los progenitores.

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The neuropathology of infant subdural haemorrhage

Cited by 95 publications

References 50 publications

Abusive head trauma: don’t overlook bridging vein thrombosis

Abusive head trauma: don’t overlook bridging vein thrombosis

Subdural Hygromas in Abusive Head Trauma: Pathogenesis, Diagnosis, and Forensic Implications

Hallazgos de necropsias en maltrato infantil en Bogotá, Colombia, entre el 2000-2005 y el 2011-2013

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