Abusive head trauma: Differentiation between impact and non-impact cases based on neuroimaging findings and skeletal surveys
Abstract Objectives To determine whether imaging findings can be used to differentiate between impact and non-impact head trauma in a group of fatal and non-fatal abusive head trauma (AHT) victims. Methods We included all AHT cases in the Netherlands in the period 2005–2012 for which a forensic repo...
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| Veröffentlicht in: | European journal of radiology 2014-03, Vol.83 (3), p.584-588 |
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| container_title | European journal of radiology |
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| creator | Sieswerda-Hoogendoorn, T Robben, S.G.F Karst, W.A Moesker, F.M van Aalderen, W.M Laméris, J.S van Rijn, R.R |
| description | Abstract Objectives To determine whether imaging findings can be used to differentiate between impact and non-impact head trauma in a group of fatal and non-fatal abusive head trauma (AHT) victims. Methods We included all AHT cases in the Netherlands in the period 2005–2012 for which a forensic report was written for a court of law, and for which imaging was available for reassessment. Neuroradiological and musculoskeletal findings were scored by an experienced paediatric radiologist. Results We identified 124 AHT cases; data for 104 cases (84%) were available for radiological reassessment. The AHT victims with a skull fracture had fewer hypoxic ischaemic injuries than AHT victims without a skull fracture ( p = 0.03), but the relative difference was small (33% vs. 57%). There were no significant differences in neuroradiological and musculoskeletal findings between impact and non-impact head trauma cases if the distinction between impact and non-impact head trauma was based on visible head injuries, as determined by clinical examination, as well as on the presence of skull fractures. Conclusions Neuroradiological and skeletal findings cannot discriminate between impact and non-impact head trauma in abusive head trauma victims. |
| doi_str_mv | 10.1016/j.ejrad.2013.11.015 |
| format | Article |
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Methods We included all AHT cases in the Netherlands in the period 2005–2012 for which a forensic report was written for a court of law, and for which imaging was available for reassessment. Neuroradiological and musculoskeletal findings were scored by an experienced paediatric radiologist. Results We identified 124 AHT cases; data for 104 cases (84%) were available for radiological reassessment. The AHT victims with a skull fracture had fewer hypoxic ischaemic injuries than AHT victims without a skull fracture ( p = 0.03), but the relative difference was small (33% vs. 57%). There were no significant differences in neuroradiological and musculoskeletal findings between impact and non-impact head trauma cases if the distinction between impact and non-impact head trauma was based on visible head injuries, as determined by clinical examination, as well as on the presence of skull fractures. Conclusions Neuroradiological and skeletal findings cannot discriminate between impact and non-impact head trauma in abusive head trauma victims.</description><identifier>ISSN: 0720-048X</identifier><identifier>EISSN: 1872-7727</identifier><identifier>DOI: 10.1016/j.ejrad.2013.11.015</identifier><identifier>PMID: 24360233</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Abusive head trauma ; Age Distribution ; Brain Ischemia - diagnosis ; Brain Ischemia - epidemiology ; Causality ; Child ; Child abuse ; Child Abuse - diagnosis ; Child Abuse - statistics & numerical data ; Child, Preschool ; Comorbidity ; Female ; Forensic medicine ; Haematoma, subdural ; Head Injuries, Closed - diagnosis ; Head Injuries, Closed - epidemiology ; Head injury, closed ; Humans ; Infant ; Infant, Newborn ; Male ; Multiple Trauma - diagnosis ; Multiple Trauma - epidemiology ; Netherlands - epidemiology ; Neuroimaging - statistics & numerical data ; Prevalence ; Radiology ; Risk Factors ; Sex Distribution ; Sickness Impact Profile ; Skull Fractures - diagnosis ; Skull Fractures - epidemiology</subject><ispartof>European journal of radiology, 2014-03, Vol.83 (3), p.584-588</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2013 Elsevier Ireland Ltd</rights><rights>Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c414t-f2fc2346d264054364bbe7b86f6f3ec7eff7197c00a5916f0b634a83774fe57e3</citedby><cites>FETCH-LOGICAL-c414t-f2fc2346d264054364bbe7b86f6f3ec7eff7197c00a5916f0b634a83774fe57e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0720048X13006050$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24360233$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sieswerda-Hoogendoorn, T</creatorcontrib><creatorcontrib>Robben, S.G.F</creatorcontrib><creatorcontrib>Karst, W.A</creatorcontrib><creatorcontrib>Moesker, F.M</creatorcontrib><creatorcontrib>van Aalderen, W.M</creatorcontrib><creatorcontrib>Laméris, J.S</creatorcontrib><creatorcontrib>van Rijn, R.R</creatorcontrib><title>Abusive head trauma: Differentiation between impact and non-impact cases based on neuroimaging findings and skeletal surveys</title><title>European journal of radiology</title><addtitle>Eur J Radiol</addtitle><description>Abstract Objectives To determine whether imaging findings can be used to differentiate between impact and non-impact head trauma in a group of fatal and non-fatal abusive head trauma (AHT) victims. Methods We included all AHT cases in the Netherlands in the period 2005–2012 for which a forensic report was written for a court of law, and for which imaging was available for reassessment. Neuroradiological and musculoskeletal findings were scored by an experienced paediatric radiologist. Results We identified 124 AHT cases; data for 104 cases (84%) were available for radiological reassessment. The AHT victims with a skull fracture had fewer hypoxic ischaemic injuries than AHT victims without a skull fracture ( p = 0.03), but the relative difference was small (33% vs. 57%). There were no significant differences in neuroradiological and musculoskeletal findings between impact and non-impact head trauma cases if the distinction between impact and non-impact head trauma was based on visible head injuries, as determined by clinical examination, as well as on the presence of skull fractures. Conclusions Neuroradiological and skeletal findings cannot discriminate between impact and non-impact head trauma in abusive head trauma victims.</description><subject>Abusive head trauma</subject><subject>Age Distribution</subject><subject>Brain Ischemia - diagnosis</subject><subject>Brain Ischemia - epidemiology</subject><subject>Causality</subject><subject>Child</subject><subject>Child abuse</subject><subject>Child Abuse - diagnosis</subject><subject>Child Abuse - statistics & numerical data</subject><subject>Child, Preschool</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Forensic medicine</subject><subject>Haematoma, subdural</subject><subject>Head Injuries, Closed - diagnosis</subject><subject>Head Injuries, Closed - epidemiology</subject><subject>Head injury, closed</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Multiple Trauma - diagnosis</subject><subject>Multiple Trauma - epidemiology</subject><subject>Netherlands - epidemiology</subject><subject>Neuroimaging - statistics & numerical data</subject><subject>Prevalence</subject><subject>Radiology</subject><subject>Risk Factors</subject><subject>Sex Distribution</subject><subject>Sickness Impact Profile</subject><subject>Skull Fractures - diagnosis</subject><subject>Skull Fractures - epidemiology</subject><issn>0720-048X</issn><issn>1872-7727</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2LFDEQhoMo7uzqLxAkRy_dVj46mRYUlnX9gAUPKngL6XRlTW9Peky6Rwb88WZ2Rg9evFRR8L5VvE8R8oxBzYCpl0ONQ7J9zYGJmrEaWPOArNha80prrh-SFWgOFcj1tzNynvMAAI1s-WNyxqVQwIVYkV-X3ZLDDul3tD2dk1029hV9G7zHhHEOdg5TpB3OPxEjDZutdTO1sadxitVpdDZjpl2pPS3iiEuawsbehnhLfYh96fnek-9wxNmONC9ph_v8hDzydsz49NQvyNd311-uPlQ3n95_vLq8qZxkcq48944LqXquZEkglOw61N1aeeUFOo3ea9ZqB2CblikPnRLSroXW0mOjUVyQF8e92zT9WDDPZhOyw3G0EaclGybbljUN16pIxVHq0pRzQm-2qWRJe8PAHLCbwdxjNwfshjFTsBfX89OBpdtg_9fzh3MRvD4KsMTcBUwmu4DRYR8Sutn0U_jPgTf_-N0YYnB2vMM95mFaUiwEDTOZGzCfD58_PJ4JAAUNiN8g_6s-</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Sieswerda-Hoogendoorn, T</creator><creator>Robben, S.G.F</creator><creator>Karst, W.A</creator><creator>Moesker, F.M</creator><creator>van Aalderen, W.M</creator><creator>Laméris, J.S</creator><creator>van Rijn, R.R</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140301</creationdate><title>Abusive head trauma: Differentiation between impact and non-impact cases based on neuroimaging findings and skeletal surveys</title><author>Sieswerda-Hoogendoorn, T ; Robben, S.G.F ; Karst, W.A ; Moesker, F.M ; van Aalderen, W.M ; Laméris, J.S ; van Rijn, R.R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c414t-f2fc2346d264054364bbe7b86f6f3ec7eff7197c00a5916f0b634a83774fe57e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Abusive head trauma</topic><topic>Age Distribution</topic><topic>Brain Ischemia - diagnosis</topic><topic>Brain Ischemia - epidemiology</topic><topic>Causality</topic><topic>Child</topic><topic>Child abuse</topic><topic>Child Abuse - diagnosis</topic><topic>Child Abuse - statistics & numerical data</topic><topic>Child, Preschool</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Forensic medicine</topic><topic>Haematoma, subdural</topic><topic>Head Injuries, Closed - diagnosis</topic><topic>Head Injuries, Closed - epidemiology</topic><topic>Head injury, closed</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Multiple Trauma - diagnosis</topic><topic>Multiple Trauma - epidemiology</topic><topic>Netherlands - epidemiology</topic><topic>Neuroimaging - statistics & numerical data</topic><topic>Prevalence</topic><topic>Radiology</topic><topic>Risk Factors</topic><topic>Sex Distribution</topic><topic>Sickness Impact Profile</topic><topic>Skull Fractures - diagnosis</topic><topic>Skull Fractures - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sieswerda-Hoogendoorn, T</creatorcontrib><creatorcontrib>Robben, S.G.F</creatorcontrib><creatorcontrib>Karst, W.A</creatorcontrib><creatorcontrib>Moesker, F.M</creatorcontrib><creatorcontrib>van Aalderen, W.M</creatorcontrib><creatorcontrib>Laméris, J.S</creatorcontrib><creatorcontrib>van Rijn, R.R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sieswerda-Hoogendoorn, T</au><au>Robben, S.G.F</au><au>Karst, W.A</au><au>Moesker, F.M</au><au>van Aalderen, W.M</au><au>Laméris, J.S</au><au>van Rijn, R.R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abusive head trauma: Differentiation between impact and non-impact cases based on neuroimaging findings and skeletal surveys</atitle><jtitle>European journal of radiology</jtitle><addtitle>Eur J Radiol</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>83</volume><issue>3</issue><spage>584</spage><epage>588</epage><pages>584-588</pages><issn>0720-048X</issn><eissn>1872-7727</eissn><abstract>Abstract Objectives To determine whether imaging findings can be used to differentiate between impact and non-impact head trauma in a group of fatal and non-fatal abusive head trauma (AHT) victims. Methods We included all AHT cases in the Netherlands in the period 2005–2012 for which a forensic report was written for a court of law, and for which imaging was available for reassessment. Neuroradiological and musculoskeletal findings were scored by an experienced paediatric radiologist. Results We identified 124 AHT cases; data for 104 cases (84%) were available for radiological reassessment. The AHT victims with a skull fracture had fewer hypoxic ischaemic injuries than AHT victims without a skull fracture ( p = 0.03), but the relative difference was small (33% vs. 57%). There were no significant differences in neuroradiological and musculoskeletal findings between impact and non-impact head trauma cases if the distinction between impact and non-impact head trauma was based on visible head injuries, as determined by clinical examination, as well as on the presence of skull fractures. Conclusions Neuroradiological and skeletal findings cannot discriminate between impact and non-impact head trauma in abusive head trauma victims.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>24360233</pmid><doi>10.1016/j.ejrad.2013.11.015</doi><tpages>5</tpages></addata></record> |
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| subjects | Abusive head trauma Age Distribution Brain Ischemia - diagnosis Brain Ischemia - epidemiology Causality Child Child abuse Child Abuse - diagnosis Child Abuse - statistics & numerical data Child, Preschool Comorbidity Female Forensic medicine Haematoma, subdural Head Injuries, Closed - diagnosis Head Injuries, Closed - epidemiology Head injury, closed Humans Infant Infant, Newborn Male Multiple Trauma - diagnosis Multiple Trauma - epidemiology Netherlands - epidemiology Neuroimaging - statistics & numerical data Prevalence Radiology Risk Factors Sex Distribution Sickness Impact Profile Skull Fractures - diagnosis Skull Fractures - epidemiology |
| title | Abusive head trauma: Differentiation between impact and non-impact cases based on neuroimaging findings and skeletal surveys |
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