Four intracranial injury cases with peripapillary scleral hemorrhage— reconsidering the mechanism of hemorrhage

Highlights • Peripapillary scleral hemorrhage is reported in shaken baby syndrome cases. • The back of the head was the main impact site in cases we studied. • The hemorrhage source was arterial vessels at the Zinn-Haller arterial ring. • It is caused by optic nerve traction due to linear accelerati...

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Veröffentlicht in:	Legal medicine (Tokyo, Japan) Japan), 2017-07, Vol.27, p.5-9
Hauptverfasser:	Oshima, Toru, Yoshikawa, Hiroshi, Koda, Yoshiro, Ohtani, Maki, Tsukamoto, Shoko, Mimasaka, Sohtaro
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Autopsy Brain Injuries, Traumatic - diagnostic imaging Brain Injuries, Traumatic - etiology Brain Injuries, Traumatic - pathology Eye Hemorrhage - diagnostic imaging Eye Hemorrhage - etiology Eye Hemorrhage - pathology Fatal Outcome Female Head Injuries, Closed - diagnostic imaging Head Injuries, Closed - etiology Head Injuries, Closed - pathology Humans Infant Infant, Newborn Internal Medicine Male Middle Aged Scleral Diseases - diagnostic imaging Scleral Diseases - etiology Scleral Diseases - pathology Tomography, X-Ray Computed
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Zusammenfassung:	Highlights • Peripapillary scleral hemorrhage is reported in shaken baby syndrome cases. • The back of the head was the main impact site in cases we studied. • The hemorrhage source was arterial vessels at the Zinn-Haller arterial ring. • It is caused by optic nerve traction due to linear acceleration or violent shaking. • Peripapillary scleral hemorrhage is a reliable finding of head acceleration injury.
ISSN:	1344-6223 1873-4162
DOI:	10.1016/j.legalmed.2017.06.001