Evaluations for abuse in young children with subdural hemorrhages: findings based on symptom severity and benign enlargement of the subarachnoid spaces

Journal of Neurosurgery. Pediatrics
Jennifer B HansenJames Anderst

Abstract

OBJECTIVE Children who have subdural hematomas (SDHs) with no or minimal neurological symptoms (SDH-mild symptoms) often present a forensic challenge. Nonabusive causes of SDH, including birth-related SDH, benign enlargement of the subarachnoid spaces (BESS), and other proposed causes have been offered as etiologies. These alternative causes do not provide explanations for concomitant suspicious injuries (CSIs). If SDH with mild symptoms in young children are frequently caused by these alternative causes, children with SDH-mild symptoms should be more likely to have no other CSIs than those who have SDH with severe symptoms (SDH-severe symptoms). Additionally, if SDH with mild symptoms is caused by something other than abuse, the location and distribution of the SDH may be different than an SDH caused by abuse. The objectives of this study were to determine the prevalence of other CSIs in patients who present with SDH-mild symptoms and to compare that prevalence to patients with SDH-severe symptoms. Additionally, this study sought to compare the locations and distributions of SDH between the two groups. Finally, given the data supporting BESS as a potential cause of SDH in young children, the authors sought to evaluate the asso...Continue Reading

References

Apr 28, 2006·Acta Neurologica Scandinavica. Supplementum·A StorsteinC A Vedeler
Nov 24, 2006·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·A KaasenG Haugen
Apr 5, 2008·AJNR. American Journal of Neuroradiology·V J RooksR C Pedersen
Feb 25, 2009·Pediatric Radiology·Amaka OffiahPaul K Kleinman
Apr 11, 2009·Pediatric Clinics of North America·Alex V Levin
Mar 3, 2010·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Matthieu VinchonNathalie Noulé
Aug 14, 2012·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Waney SquierTipu Aziz
Feb 12, 2013·Journal of Neurosurgery. Pediatrics·Heather McKeagJoanne Wood
Mar 13, 2013·Pediatrics·Lynn K SheetsPippa Simpson
Mar 27, 2013·Pediatrics·James D AnderstUNKNOWN Section on Hematology/Oncology and Committee on Child Abuse and Neglect of the American Academy of Pediatrics
Jul 23, 2013·AJNR. American Journal of Neuroradiology·M V GreinerJ L Leach
Jul 24, 2013·Evidence-based Child Health : a Cochrane Review Journal·Sabine Maguire, Mala Mann
Apr 22, 2015·The American Journal of Forensic Medicine and Pathology·David MillerMarvin Miller
Apr 29, 2015·Pediatrics·Cindy W Christian, UNKNOWN Committee on Child Abuse and Neglect, American Academy of Pediatrics
Oct 7, 2015·Pediatrics·Daniel M LindbergDesmond K Runyan
Mar 5, 2016·Journal of Neurosurgery. Pediatrics·Jacqueline TuckerJoseph Piatt
Dec 27, 2016·Academic Pediatrics·Jennifer B HansenJames D Anderst

❮ Previous
Next ❯

Citations

May 26, 2018·Pediatric Radiology·Arabinda Kumar ChoudharyAmaka C Offiah
May 18, 2021·Pediatric Radiology·Marguerite M Caré
May 18, 2021·Pediatric Radiology·Jai SidpraKshitij Mankad
Apr 29, 2021·AJR. American Journal of Roentgenology·Cory M PfeiferPeter J Strouse

❮ Previous
Next ❯

Software Mentioned

SAS
SPSS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.