Nonaccidental head trauma as a cause of childhood death

Journal of Neurosurgery
Patrick Graupman, Ken R Winston

Abstract

The authors present the demographic and clinical information in 36 children who died as a result of abusive head trauma at a Level 1 pediatric trauma center between January 1, 1997, and January 1, 2004. Abusive head trauma was defined as radiographic evidence of intracranial injury and documentation from a multidisciplinary child protection team that the injury was nonaccidental. There was no sex bias for the children in the 1st year of life (nine girls, nine boys). In children older than 1 year of age, boys were much more likely to be victims (14 boys, four girls). At the time of admission, every child exhibited a seriously impaired level of consciousness and 81% had retinal hemorrhages. Injuries to other organ systems were rare (17%). The most common abnormality found on neuroimaging studies was subdural hematoma. Six children underwent craniotomy for extraaxial hematomas. Death occurred within 24 hours after hospital admission in one half of the cases. Abusive head trauma was the cause of death in 36 (86%) of the 42 children whose deaths were classified as nonaccidental at the Children's Hospital in Denver between 1997 and 2003. The authors were unable to identify anything that could have been done from a medical or neurosur...Continue Reading

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Citations

Feb 14, 2008·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·V TrenchsJ Pou
Aug 3, 2011·Journal of Neurosurgery. Pediatrics·Mary I HuangShenandoah Robinson
Sep 5, 2015·Journal of Neurosurgery. Pediatrics·Eliel N ArreyDavid I Sandberg
Jun 30, 2015·World Neurosurgery·Sudhakar VadiveluSteven J Schneider
Mar 11, 2016·Neurologia Medico-chirurgica·Hiroshi KaribeTeiji Tominaga
Sep 24, 2008·Journal of Forensic Sciences·Daniel W DyeCharles P Kokes
May 15, 2012·The Journal of Pediatrics·Steven L SheinRachel P Berger
Nov 2, 2016·Neurosurgical Focus·Sudhakar VadiveluSteven J Schneider
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Feb 24, 2007·Emergency Radiology·James Provenzale
Mar 23, 2019·Journal of Clinical Medicine·Chih-Chi ChenUNKNOWN Prevention, Protection Against Child Abuse, Neglect (PCHAN) Study Group

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