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Imaging of bridging vein thrombosis in infants with abusive head trauma: the -em class="a-plus-plus">Tadpole Sign-
- 作者:Maria L. Hahnemann ; Sonja Kinner ; Bernd Schweiger ; Thomas Bajanowski…
- 关键词:Bridging vein thrombosis ; Abusive head trauma ; Subdural hematoma ; Subdural hygroma ; Paediatric neuroradiology
- 刊名:European Radiology
- 出版年:2015
- 出版时间:February 2015
- 年:2015
- 卷:25
- 期:2
- 页码:299-305
- 全文大小:488 KB
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2. Duhaime AC, Christian CW, Rorke LB, Zimmerman RA (1998) Nonaccidental head injury in infants–the "shaken-baby syndrome". N Engl J Med 338:1822-829 lass="external" href="http://dx.doi.org/10.1056/NEJM199806183382507" target="_blank" title="It opens in new window">CrossRef 3. Jayawant S, Rawlinson A, Gibbon F et al (1998) Subdural haemorrhages in infants: population based study. BMJ 317:1558-561 lass="external" href="http://dx.doi.org/10.1136/bmj.317.7172.1558" target="_blank" title="It opens in new window">CrossRef 4. Barlow KM, Minns RA (2000) Annual incidence of shaken impact syndrome in young children. Lancet 356:1571-572 lass="external" href="http://dx.doi.org/10.1016/S0140-6736(00)03130-5" target="_blank" title="It opens in new window">CrossRef 5. Keenan HT, Runyan DK, Marshall SW, Nocera MA, Merten DF, Sinal SH (2003) A population-based study of inflicted traumatic brain injury in young children. JAMA 290:621-26 lass="external" href="http://dx.doi.org/10.1001/jama.290.5.621" target="_blank" title="It opens in new window">CrossRef 6. Hobbs C, Childs AM, Wynne J, Livingston J, Seal A (2005) Subdural haematoma and effusion in infancy: an epidemiological study. Arch Dis Child 90:952-55 lass="external" href="http://dx.doi.org/10.1136/adc.2003.037739" target="_blank" title="It opens in new window">CrossRef 7. Talvik I, Metsvaht T, Leito K et al (2006) Inflicted traumatic brain injury (ITBI) or shaken baby syndrome (SBS) in Estonia. Acta Paediatr 95:799-04 lass="external" href="http://dx.doi.org/10.1080/08035250500464923" target="_blank" title="It opens in new window">CrossRef 8. Fanconi M, Lips U (2010) Shaken baby syndrome in Switzerland: results of a prospective follow-up study, 2002-2007. Eur J Pediatr 169:1023-028 lass="external" href="http://dx.doi.org/10.1007/s00431-010-1175-x" target="_blank" title="It opens in new window">CrossRef 9. Matschke J, Herrmann B, Sperhake J, K?rber F, Bajanowski T, Glatzel M (2009) Shaken baby syndrome: a common variant of non-accidental head injury in infants. Dtsch Arztebl Int 106:211-17 10. Christian CW, Block R (2009) Committee on Child Abuse and Neglect; American Academy of Pediatrics. Abusive head trauma in infants and children. Pediatrics 123:1409-411 lass="external" href="http://dx.doi.org/10.1542/peds.2009-0408" target="_blank" title="It opens in new window">CrossRef 11. Wittschieber D, Karger B, Niederstadt T, Pfeiffer H, Hahnemann ML (2014) Subdural hygromas in abusive head trauma: pathogenesis, diagnosis and forensic implications. AJNR Am J Neuroradiol. doi:lass="a-plus-plus non-url-ref">10.3174/ajnr.A3989 12. Yamashima T, Friede RL (1984) Why do bridging veins rupture into the virtual subdural space? J Neurol Neurosurg Psychiatry 47:121-27 lass="external" href="http://dx.doi.org/10.1136/jnnp.47.2.121" target="_blank" title="It opens in new window">CrossRef 13. Morrison CN, Minns RA (2005) The biomechanics of shaking. In: Minns RA, Brown JK (eds) Shaking and other non-accidental head injuries in children. Mac Keith Press, London, pp 106-46 14. Nierenberger M, Wolfram-Gabel R, Decock-Catrin S et al (2013) Investigation of the human bridging veins structure using optical microscopy. Surg Radiol Anat 35:331-37 lass="external" href="http://dx.doi.org/10.1007/s00276-012-1035-7" target="_blank" title="It opens in new window">CrossRef 15. Minns RA (2014) Non-accidental head injury in children. In: Madea B (ed) Handbook of forensic medicine. Wiley Blackwell, Chichester, pp 702-24 lass="external" href="http://dx.doi.org/10.1002/9781118570654.ch37" target="_blank" title="It opens in new window">CrossRef 16. Norman MG, Smialek JE, Newman DE, Horembala EJ (1984) The postmortem examination on the abused child. Pathological, radiographic, and legal aspects. Perspect Pediatr Pathol 8:313-43 17. Maxeiner H (1997) Detection of ruptured cerebral bridging veins at autopsy. Forensic Sci Int 89:103-10 lass="external" href="http://dx.doi.org/10.1016/S0379-0738(97)00124-2" target="_blank" title="It opens in new window">CrossRef 18. Maxeiner H (2001) Demonstration and interpretation of bridging vein ruptures in cases of infantile subdural bleedings. J Forensic Sci 46:85-3 19. Ehrlich E, Maxeiner H, Lange J (2003) Postmortem radiological investigation of bridging vein ruptures. Legal Med (Tokyo) 5:225-27 lass="external" href="http://dx.doi.org/10.1016/S1344-6223(02)00118-9" target="_blank" title="It opens in new window">CrossRef 20. Stein KM, Ruf K, Ganten MK, Mattern R ( - 刊物类别:Medicine
- 刊物主题:Medicine & Public Health
Imaging and Radiology Diagnostic Radiology Interventional Radiology Neuroradiology Ultrasound Internal Medicine
- 出版者:Springer Berlin / Heidelberg
- ISSN:1432-1084
文摘
Objectives Abusive head trauma (AHT) in infants is usually diagnosed using a multi-disciplinary approach by investigating the circumstances and identifying morphological indicators, for example, subdural hematomas (SDHs), subdural hygromas (SDHys), retinal haemorrhages and encephalopathy. The present morphological study investigates the incidence, radiological characteristics and non-radiological co-factors of bridging vein thrombosis (BVT) in infants with AHT. Methods From 2002 to 2013, computed tomography (CT) and magnetic resonance imaging (MRI) material of 628 infants aged 0-2?years were analysed retrospectively. If available, medicolegal expert opinions were additionally considered. Cases with SDHs and/or SDHys were identified and systematically evaluated as to the presence and characteristics of BVT. Results SDHs and/or SDHys were present in 29 of the 81 cases exhibiting morphological abnormalities in the initial CT. Among these, 11 cases (40?%) had BVT (mean age--.0?months). BVT could be best depicted in the T1-weighted spin echo and T2*/susceptibility-weighted MRI. In one case, BVT could be depicted indirectly using time-of-flight MR venography. The predominant (73?%) BVT shape was found to be tadpole-like (-em class="a-plus-plus">Tadpole Sign-/em>). Conclusions In the absence of appropriate accidental trauma, BVT appears to be a strong indicator of AHT. Therefore, the BVT/Tadpole Sign represents compelling cause to search for other signs of AHT. Key points -BVT is an excellent indicator of AHT in SDH/SDHy cases. -Accidental trauma must be ruled out before diagnosing AHT. -The Tadpole Sign appears to be the most characteristic shape of BVT. -BVT can be depicted using CT, MRI and MR venography. -The Tadpole Sign suggests searching for other signs of AHT.
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